Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-06-01-13
Project Information
Project Identifiers | Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 |
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DIST-CO-RTE-PM | 03-SAC-50-L0.2/R6.1 |
Award Date | 06/30/2020 |
Closeout Date | Not set |
Work Description | Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC |
Location Description | FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE |
QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
Sample Taken Date | 06/01/2023 | Sample Unique Key | 13 |
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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 | 06/01/2023 |
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 |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-01-13-1 CTM 342-August 2012 (Verified)