Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2023-05-01-22

Project Information

Project IdentifiersProject ID: 994521
DEA: 051N9204
EFIS: 0521000146
DIST-CO-RTE-PM05-SB-VAR-var
Award Date03/02/2023
Closeout DateNot set
Work DescriptionPolyester concrete overlay, replace joint seals, deck seal.
Location Description05-SB-101, 150, 154, 225-Var
QA Service Level1 (Verified on 03/28/2023)

Sample Information

Sample Taken Date05/01/2023 Sample Unique Key22
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 testing04/30/2023
Sample typeDepartment Acceptance A brief description of the sampleSkid Portable
The quantity of what the sample constitutesSkid Testing From where was the sample collectedJob Site
First name of sampler or witnessed byJessie Last name of sampler or witnessed byWilson
Title of sampler Telephone number of sampler
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 nameState St UC

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
2023-05-01-22-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Jessie Wilson, CT HQ - FFS - Skid Testing05/01/2023Jessie Wilson
Yes
05/07/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-01-22-1 CTM 342-August 2012 (Verified)