Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2024-05-16-11

Project Information

Project IdentifiersProject ID: 995518
DEA: 101P7104
EFIS: 1022000155
DIST-CO-RTE-PM10-SJ-4,5-Var
Award Date03/18/2024
Closeout Date03/24/2025
Work DescriptionBRIDGE POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN JOAQUIN COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 12/04/2023)

Sample Information

Sample Taken Date05/16/2024 Sample Unique Key11
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 testing05/17/2024
Sample typeDepartment Acceptance A brief description of the samplePOLY BRIDGE DECK
The quantity of what the sample constitutes144 SQFT From where was the sample collectedJob Site
First name of sampler or witnessed byTIEN Last name of sampler or witnessed bynguyen
Title of samplerASR Telephone number of sampler2092793099
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMcCuen Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier29-0237R
Structure nameMormon Slough Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE10-SJ-4,5-Var
Direction of TravelEast Post Mile16.20
Lanes to be TestedLane #4 Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Test File Attachments