Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2023-10-20-13

Project Information

Project IdentifiersProject ID: 993279
DEA: 010E0904
EFIS: 0113000123
DIST-CO-RTE-PM01-MEN-20-33.3/34.4
Award Date05/06/2022
Closeout DateNot set
Work DescriptionCONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location DescriptionMENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
QA Service Level1 (Verified on 10/04/2021)

Sample Information

Sample Taken Date10/20/2023 Sample Unique Key13
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 testing10/20/2023
Sample typeAcceptance A brief description of the sampleSkid Portable
The quantity of what the sample constitutesSkid Testing From where was the sample collectedJob Site
First name of sampler or witnessed byJessie Last name of sampler or witnessed byWilson
Title of sampler Telephone number of sampler
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 nameRussian River Br.

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE01-Men-20
Direction of TravelEast Post Mile
Lanes to be TestedLane #1 Station25+50

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-10-20-13-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Jessie Wilson, CT HQ - FFS - Skid Testing10/20/2023Jessie Wilson
Yes
10/23/2023
2023-10-20-13-2CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Jessie Wilson, CT HQ - FFS - Skid Testing10/20/2023Jessie Wilson
Yes
10/23/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-10-20-13-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2023-10-20-13-2 CTM 342-August 2012 (Verified)