Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-06-26-28
Project Information
Project Identifiers | Project ID: 212498 DEA: 021H5204 EFIS: 0217000009 |
---|---|
DIST-CO-RTE-PM | 02-SIS-3,263-48.5/49.7 - 49.41 |
Award Date | 06/09/2023 |
Closeout Date | Not set |
Work Description | Roadway Rehabilitation |
Location Description | 02-Sis-3, 263-R46.8/R48.0, 49.07/49.41 |
QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
Sample Taken Date | 06/26/2023 | Sample Unique Key | 28 |
---|---|---|---|
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 testing | 06/26/2023 |
Sample type | Department Acceptance | A brief description of the sample | Portable Skid Testing |
The quantity of what the sample constitutes | Skid Testing | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jessie | Last name of sampler or witnessed by | Wilson |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Job Site | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Roadway/Bridge Surface | Pavement Surface Type | Not set |
---|---|---|---|
Type of Traffic Control Provided | Not set | DIST-CO-RTE | Not set |
Direction of Travel | Not set | Post Mile | Not set |
Lanes to be Tested | Not set | Station | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-06-26-28-1 CTM 342-August 2012 (Verified)