Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2023-03-24-36

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date03/01/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date03/24/2023 Sample Unique Key36
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing03/24/2023
Sample typeDepartment Acceptance A brief description of the samplePortable Skid Test
The quantity of what the sample constitutesskid testing From where was the sample collectedJob Site
First name of sampler or witnessed byJESSIE Last name of sampler or witnessed byWilson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAT THE JOB SITE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypeNot set
Type of Traffic Control ProvidedNot set DIST-CO-RTENot set
Direction of TravelNot set Post MileNot set
Lanes to be TestedNot set StationNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-24-36-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)JESSIE Wilson, CT HQ - FFS - Skid Testing03/24/2023Harish Thakur
Yes
04/04/2023APPROACH
2023-03-24-36-2CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing03/24/2023Harish Thakur
Yes
04/04/2023BRIDGE
2023-03-24-36-3CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)JESSIE Wilson, CT HQ - FFS - Skid Testing03/24/2023Harish Thakur
Yes
04/04/2023DEPARTURE

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-03-24-36-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-03-24-36-2 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-03-24-36-3 CTM 342-August 2012 (Verified)