Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2023-03-01-6

Project Information

Project IdentifiersProject ID: 993301
DEA: 060U2804
EFIS: 0615000293
DIST-CO-RTE-PM06-TUL-245-1.4,4.2
Award Date01/03/2022
Closeout DateNot set
Work DescriptionPRECAST PRESTRESSED CONCRETE BOX GIRDER AND SLAB, BRIDGE REMOVAL.
Location DescriptionTULARE COUNTY NEAR WOODLAKE AT YOKOHL CREEK BRIDGE AND AT KAWEAH RIVER BRIDGE
QA Service Level1 (Verified on 10/11/2021)

Sample Information

Sample Taken Date03/01/2023 Sample Unique Key6
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 testing03/01/2023
Sample typeAcceptance A brief description of the samplePortable Skid Test
The quantity of what the sample constitutesBRIDGE 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 sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBRIDGE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRoadway/Bridge Surface Type of SurfacePCC
Date Surface placed2022-10-05 Bridge Number
Bridge NameYOKOHL CREEK BR Bridge Length
Number of Lanes

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments