*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-07-08-11
Project ID: 99999 DEA: 0322222 QA Service Level:
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Contractor Address:
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2020-07-08-11
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: Skid Test
Sample Taken Date: 07/08/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/08/2020
The quantity of what the sample constitutes: 6
A brief description of the sample: Portable Skid Test
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Sheep Creek Bridge
Type of Surface: Polyester Concrete
Date Surface placed: 06/30/2020
Bridge Number: 540360
Bridge Name: Sheep Creek Bridge
Bridge Length: 55 ft
Number of Lanes: 2
Test 1 of 1
DIME Test ID: 2020-07-08-11-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Data has not been verified.