Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-05-01-22
Project Information
Project Identifiers | Project ID: 994521 DEA: 051N9204 EFIS: 0521000146 |
---|---|
DIST-CO-RTE-PM | 05-SB-VAR-var |
Award Date | 03/02/2023 |
Closeout Date | 07/31/2024 |
Work Description | Polyester concrete overlay, replace joint seals, deck seal. |
Location Description | 05-SB-101, 150, 154, 225-Var |
QA Service Level | 1 (Verified on 03/28/2023) |
Sample Information
Sample Taken Date | 05/01/2023 | Sample Unique Key | 22 |
---|---|---|---|
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 testing | 04/30/2023 |
Sample type | Department Acceptance | A brief description of the sample | Skid Portable |
The quantity of what the sample constitutes | Skid Testing | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jessie | Last name of sampler or witnessed by | Wilson |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Job Site | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | State St UC |
Material Information
Material Type | Roadway/Bridge Surface | Pavement Surface Type | Not set |
---|---|---|---|
Type of Traffic Control Provided | Not set | DIST-CO-RTE | Not set |
Direction of Travel | Not set | Post Mile | Not set |
Lanes to be Tested | Not set | Station | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-05-01-22-1 CTM 342-August 2012 (Verified)