Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-10-14-5

Project Information

Project IdentifiersProject ID: 1000091
DEA: 032G5404
EFIS: 0321000237
DIST-CO-RTE-PM03-YOL-128,505-VAR
Award Date05/30/2024
Closeout DateNot set
Work DescriptionPLACE AND FURNISH POLYESTER CONCRETE OVERLAY, & REPLACE JOINT SEALS.
Location DescriptionYOLO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 02/26/2024)

Sample Information

Sample Taken Date10/14/2024 Sample Unique Key5
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 testing10/14/2024
Sample typeAcceptance A brief description of the samplePCC
The quantity of what the sample constitutesPCC From where was the sample collectedJob Site
First name of sampler or witnessed byHARISH Last name of sampler or witnessed byTHAKUR
Title of sampler Telephone number of sampler9152961873
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJOB SITE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

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

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments