Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-06-16-1
Project Information
| Project Identifiers | Project ID: 994392 DEA: 043W5704 EFIS: 0421000389 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12,101,128-Var |
| Award Date | 12/28/2022 |
| Closeout Date | 12/08/2023 |
| Work Description | POLYESTER CONCRETE OVERLAY. |
| Location Description | SONOMA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/13/2023) |
Sample Information
| Sample Taken Date | 06/16/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 06/16/2023 |
| Sample type | Department Acceptance | A brief description of the sample | POLY |
| The quantity of what the sample constitutes | BRIDGE DECK | 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 | RUSSIAN RIVER BRIDGE | Bid Item | Not set |
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: 2023-06-16-1-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-06-16-1-2 CTM 342-August 2012 (Verified)
