Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-06-11-10
Project Information
Project Identifiers | Project ID: 993907 DEA: 061E2004 EFIS: 0621000225 |
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DIST-CO-RTE-PM | 06-MAD-99,152-24.8,7.3 |
Award Date | 08/04/2022 |
Closeout Date | 04/22/2024 |
Work Description | REPAIR BRIDGE DECK AND PLACE POLYESTER CONCRETE OVERLAY. |
Location Description | MADERA COUNTY NEAR CHOWCHILLA ON ROUTE 99 AT BERENDA SLOUGH BRIDGE AND ON ROUTE 152 AT ASH SLOUGH BRIDGE |
QA Service Level | 1 (Verified on 07/06/2022) |
Sample Information
Sample Taken Date | 06/11/2023 | Sample Unique Key | 10 |
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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 | 06/11/2023 |
Sample type | Department Acceptance | A brief description of the sample | polyester |
The quantity of what the sample constitutes | poly | From where was the sample collected | Job Site |
First name of sampler or witnessed by | HARISH | Last name of sampler or witnessed by | Thakur |
Title of sampler | Telephone number of sampler | 9152961873 | |
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: 2023-06-11-10-1 CTM 342-August 2012 (Verified)