Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2020-08-03-35

Project Information

Project IdentifiersProject ID: 214796
DEA: 024H1304
EFIS: 0218000134
DIST-CO-RTE-PM02-SHA,SIS-5,44,299-VAR
Award Date05/01/2020
Closeout Date10/05/2021
Work DescriptionTREAT BRIDGE DECKS AND REPLACE JOINT SEALS.
Location DescriptionSHASTA AND SISKIYOU COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/20/2020)

Sample Information

Sample Taken Date08/03/2020 Sample Unique Key35
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 testing08/03/2020
Sample typeQuality Assurance A brief description of the sampleFastrack
The quantity of what the sample constitutes1 Bridge All Lanes Both Direction From where was the sample collectedJob Site
First name of sampler or witnessed byRobert Last name of sampler or witnessed byMedina
Title of samplerTET Telephone number of sampler916-296-8493
Laboratory sample identificationSkid Testing Unit Linked DIME Sample ID
The fabricator/manufacturer/facility namecontractor Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier06-0035
Structure nameRedding OH Bridge

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypeNot set
Type of Traffic Control ProvidedNot set DIST-CO-RTENot set
Direction of TravelNot set Post MileNot set
Lanes to be TestedNot set StationNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-03-35-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Robert Medina, CT HQ - FFS - Skid Testing08/03/2020Robert Medina
Yes
02/02/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-08-03-35-1 CTM 342-August 2012 (Verified)