Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-08-28-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001123 DEA: 051H4704 EFIS: 0516000078 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-9-9-13.6,15.5 |
| Award Date | 09/05/2025 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGES AND INSTALL MGS. |
| Location Description | SANTA CRUZ COUNTY NEAR BOULDER CREEK AT SAN LORENZO RIVER BRIDGE AND AT KINGS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/10/2025) |
Sample Information
| Sample Taken Date | 08/28/2026 | Sample Unique Key | 9 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Acceptance | A brief description of the sample | Skid Testing Request |
| The quantity of what the sample constitutes | BRIDGE DECK | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jarred | Last name of sampler or witnessed by | Burrows |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Gordon Ball Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 36-0054 | |
| Structure name | Kings Creek Bridge | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | PCC (Portland Cement Concrete) |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 5-SCr-009 |
| Direction of Travel | Post Mile | 15.50 | |
| Lanes to be Tested | Station |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||