Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-10-30-52
Project Information
| Project Identifiers | Project ID: 994639 DEA: 032G5504 EFIS: 0321000238 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT,COL,GLE-5,32,99,149,162-VAR |
| Award Date | 06/13/2023 |
| Closeout Date | 03/27/2025 |
| Work Description | PLACE AND FURNISH POLYESTER CONCRETE AND REPLACE JOINT SEALS. |
| Location Description | BUTTE, COLUSA, AND GLENN COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 10/30/2023 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 10/30/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Skid Portable |
| 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 | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 03-Nev-80 |
| Direction of Travel | East | Post Mile | |
| Lanes to be Tested | Lane #2 | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-30-52-1 CTM 342-August 2012 (Verified)
