Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-03-11-11

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date03/11/2020 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 testing03/03/2020
Sample typeQuality Assurance A brief description of the sampleBridge deck and Approach slap
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byJose Last name of sampler or witnessed byMendez
Title of samplerTET Telephone number of sampler
Laboratory sample identification1200000180Rte405Magnolia St OC Linked DIME Sample ID2020-03-11-11
The fabricator/manufacturer/facility nameStructures Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier55-1121
Structure name

Material Information

Material TypeSkid Test Type of SurfaceGrind PCC Deck
Date Surface placed02/03/2020 Bridge Number55 1121
Bridge NameMagnolia St OC Bridge LengthUnknown
Number of LanesUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-11-11-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Jose MendezCT - Southern Regional Laboratory03/11/2020Jose Mendez
Yes
03/11/2020