Sample Record

Owner Labs

  • CT SC - 3672 - Fairfield
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-06-13-62

Project Information

Project IdentifiersProject ID: 993424
DEA: 04281204
EFIS: 0400000769
DIST-CO-RTE-PM04-NAP-29,221-5.5/6.7,0.0/0.2
Award Date03/21/2022
Closeout DateNot set
Work DescriptionHMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location DescriptionNAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
QA Service Level1 (Verified on 12/08/2021)

Sample Information

Sample Taken Date06/13/2024 Sample Unique Key62
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 testing07/08/2024
Sample typeAcceptance A brief description of the sampleCRCP Friction Testing
The quantity of what the sample constitutes4700 From where was the sample collectedJob Site
First name of sampler or witnessed byNana Last name of sampler or witnessed byBudu
Title of sampler Telephone number of sampler7078122676
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier28-Napa
Structure nameCRCP Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypeCRCP (Continuously Reinforced Concrete Pavement)
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE04-Nap-29, 221-5.5/5./, 0.0/0.2
Direction of TravelNorth Post Mile
Lanes to be TestedLane #1 Station

Submitted Tests

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