Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-12-05-18
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Project Information
| Project Identifiers | Project ID: 994248 DEA: 051K1204 EFIS: 0518000125 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-9-1.0,4.0 |
| Award Date | 12/07/2022 |
| Closeout Date | 09/02/2025 |
| Work Description | CONSTRUCT SIDEHILL VIADUCTS. |
| Location Description | SANTA CRUZ COUNTY AT 0.5 MILE NORTH OF VERNON STREET AND AT 0.8 MILE SOUTH OF GLENGARRY ROAD |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 12/05/2023 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 12/05/2023 |
| Sample type | Department Acceptance | A brief description of the sample | BRIDGE DECK |
| The quantity of what the sample constitutes | BRIDGE DECK | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | HARISH | Last name of sampler or witnessed by | THAKUR |
| Title of sampler | Telephone number of sampler | 9152961873 | |
| 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 | PCC (Portland Cement Concrete) |
|---|---|---|---|
| Type of Traffic Control Provided | Behind K-Rail/Barrier | DIST-CO-RTE | |
| Direction of Travel | Post Mile | ||
| Lanes to be Tested | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-12-05-18-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-12-05-18-2 CTM 342-August 2012 (Verified)