Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2023-10-20-13
Project Information
Project Identifiers | Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 |
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DIST-CO-RTE-PM | 01-MEN-20-33.3/34.4 |
Award Date | 05/06/2022 |
Closeout Date | Not set |
Work Description | CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310) |
Location Description | MENDOCINO 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 Level | 1 (Verified on 10/04/2021) |
Sample Information
Sample Taken Date | 10/20/2023 | Sample Unique Key | 13 |
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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 | 10/20/2023 |
Sample type | Department Acceptance | A brief description of the sample | Skid Portable |
The quantity of what the sample constitutes | Skid Testing | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jessie | Last name of sampler or witnessed by | Wilson |
Title of sampler | Telephone number of sampler | ||
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 Br. |
Material Information
Material Type | Roadway/Bridge Surface | Pavement Surface Type | PCC (Portland Cement Concrete) |
---|---|---|---|
Type of Traffic Control Provided | Behind K-Rail/Barrier | DIST-CO-RTE | 01-Men-20 |
Direction of Travel | East | Post Mile | |
Lanes to be Tested | Lane #1 | Station | 25+50 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
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)