Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2023-08-02-24

Project Information

Project IdentifiersProject ID: 993717
DEA: 021J8304
EFIS: 0220000148
DIST-CO-RTE-PM02-SHA,TEH-5,36,44-VAR
Award Date06/15/2022
Closeout DateNot set
Work DescriptionREINF STRUCTURAL CONC BRIDGE, APPROACH SLAB & POLYESTER CONC OVERLAY.
Location DescriptionSHASTA AND TEHAMA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date08/02/2023 Sample Unique Key24
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 testing08/02/2023
Sample typeAcceptance A brief description of the samplepolyester
The quantity of what the sample constitutesBRIDGE DECK 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 nameAT THE JOB 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
2023-08-02-24-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing08/02/2023Harish Thakur
Yes
08/04/2023COW CREEK BRIDGE #06-0152 APPROACH SLAB. VISUALLY INSPECTED WB AND NO ISSUES SPOTTED AND LOOKS AS GOOD AS EB
2023-08-02-24-2CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing08/02/2023Harish Thakur
Yes
08/04/2023COW CREEK BRIDGE #06-0152 BRIDGE, VISUALLY INSPECTED WB AND NO ISSUES SPOTTED AND LOOKS AS GOOD AS EB
2023-08-02-24-3CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Harish Thakur, CT HQ - FFS - Skid Testing08/02/2023Harish Thakur
Yes
08/04/2023COW CREEK BRIDGE #06-0152 DEPARTURE, VISUALLY INSPECTED WB AND NO ISSUES SPOTTED AND LOOKS AS GOOD AS EB

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-08-02-24-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-08-02-24-2 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-08-02-24-3 CTM 342-August 2012 (Verified)