Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-05-16-11
Project Information
| Project Identifiers | Project ID: 995518 DEA: 101P7104 EFIS: 1022000155 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4,5-Var |
| Award Date | 03/18/2024 |
| Closeout Date | 03/24/2025 |
| Work Description | BRIDGE POLYESTER CONCRETE OVERLAY. |
| Location Description | SAN JOAQUIN COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/04/2023) |
Sample Information
| Sample Taken Date | 05/16/2024 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 05/17/2024 |
| Sample type | Department Acceptance | A brief description of the sample | POLY BRIDGE DECK |
| The quantity of what the sample constitutes | 144 SQFT | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | TIEN | Last name of sampler or witnessed by | nguyen |
| Title of sampler | ASR | Telephone number of sampler | 2092793099 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | McCuen Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 29-0237R | |
| Structure name | Mormon Slough | 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 | 10-SJ-4,5-Var |
| Direction of Travel | East | Post Mile | 16.20 |
| Lanes to be Tested | Lane #4 | Station |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
