Sample Record
Owner Labs
- CT SC - 3665 - Stockton
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-05-14-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994876 DEA: 101N7704 EFIS: 1022000025 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5-0.6 |
| Award Date | 07/25/2023 |
| Closeout Date | 12/18/2024 |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE AND REPLACE JOINT SEALS. |
| Location Description | SAN JOAQUIN COUNTY NEAR TRACY AT ROUTE 5/580 SEPARATION |
| QA Service Level | 1 (Verified on 06/14/2023) |
Sample Information
| Sample Taken Date | 05/14/2024 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 05/21/2024 |
| Sample type | Department Acceptance | A brief description of the sample | Skid Testing Request |
| The quantity of what the sample constitutes | 22,892 SQFT | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Armando | Last name of sampler or witnessed by | Jose |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Peterson Chase | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 29-0242L | |
| Structure name | SB I-5/I-580 Separation |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 10-SJ-5-0.6 |
| Direction of Travel | West | Post Mile | 0.63 |
| Lanes to be Tested | Lane #2 | Station |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||