Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-07-05-6
Project Information
| Project Identifiers | Project ID: 994244 DEA: 051F6204 EFIS: 0514000039 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-152-1.9 |
| Award Date | 11/29/2022 |
| Closeout Date | 02/14/2024 |
| Work Description | WIDEN BRIDGE, CONCRETE BARRIER, AND MODIFY ELECTRICAL SYSTEM. |
| Location Description | SANTA CRUZ COUNTY NEAR WATSONVILLE AT CORRALITOS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 07/05/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 07/05/2023 |
| Sample type | Department Acceptance | A brief description of the sample | BRIDGE DECK |
| The quantity of what the sample constitutes | bridge | 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 | 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: 2023-07-05-6-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-07-05-6-2 CTM 342-August 2012 (Verified)
