Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2023-06-13-1

Project Information

Project IdentifiersProject ID: 993751
DEA: 101N5704
EFIS: 1021000212
DIST-CO-RTE-PM10-SJ-5,205-R13.0,R13.1
Award Date06/30/2022
Closeout DateNot set
Work DescriptionAPPLY POLYESTER CONCRETE OVERLAY TO BRIDGE DECKS.
Location DescriptionSAN JOAQUIN COUNTY IN AND NEAR LATHROP ON ROUTE 5 AT PARADISE CUT BRIDGE AND ON ROUTE 205 AT E205-N5 CONNECTOR RAMP
QA Service Level1 (Verified on 04/29/2022)

Sample Information

Sample Taken Date06/13/2023 Sample Unique Key1
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 testing06/13/2023
Sample typeAcceptance A brief description of the samplepoly bridge
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 sampler9152961873
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 name

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
2023-06-13-1-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing06/13/2023Harish Thakur
Yes
06/15/2023PARADISE NB LANE #3 APPROACH
2023-06-13-1-2CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing06/13/2023Harish Thakur
Yes
06/15/2023PARADISE NB BRIDGE LANE #3
2023-06-13-1-3CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing06/13/2023Harish Thakur
Yes
06/15/2023PARADISE NB DEPARTURE LANE #3
2023-06-13-1-4CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing06/13/2023Harish Thakur
Yes
06/15/2023E205/N5 CONNECTOR NB APPROACH LANE 1. LANE 2 WAS ALSO TESTED IN RANDOM SPOT, RESULTS AS GOOD AS LANE 1
2023-06-13-1-5CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing06/13/2023Harish Thakur
Yes
06/15/2023E205/N5 CONNECTOR NB BRIDGE LANE 1. lANE 2 WAS ALSO TESTED AT RANDOM SPOTS AND VISUALLY INSPECTED, RESULTS WERE GOOD.
2023-06-13-1-6CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing06/13/2023Harish Thakur
Yes
06/15/2023E205/N5 CONNECTOR NB DEPARTURE LANE 1. lANE 2 WAS ALSO TESTED AT RANDOM SPOTS AND VISUALLY INSPECTED, RESULTS WERE GOOD.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-06-13-1-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-06-13-1-2 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-06-13-1-3 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-06-13-1-4 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-06-13-1-5 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-06-13-1-6 CTM 342-August 2012 (Verified)