Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-06-06-10

Project Information

Project IdentifiersProject ID: 994864
DEA: 050N74U4
EFIS: 0522000025
DIST-CO-RTE-PM05-SB-101-9.9/10.6
Award Date07/10/2023
Closeout DateNot set
Work DescriptionSB 101 4D North San Ysidro to Olive Mill
Location DescriptionIn Santa Barbara County in and near Santa Barbara from 0.1 mile south of San Ysidro Road Overcrossing to 0.1 north of Olive Mill Road Overcrossing
QA Service Level1 (Verified on 08/21/2023)

Sample Information

Sample Taken Date06/06/2024 Sample Unique Key10
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 testing06/06/2024
Sample typeQuality Assurance A brief description of the samplePortable Skid Testing
The quantity of what the sample constitutesSkid Testing From where was the sample collectedJob Site
First name of sampler or witnessed byJessie Last name of sampler or witnessed byWilson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAT THE JOB SITE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE
Direction of Travel Post Mile
Lanes to be Tested Station

Submitted Tests

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