Sample Record

Owner Labs

  • Caltrans IA
  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-04-19-2

Project Information

Project IdentifiersProject ID: 994538
DEA: 010L1704
EFIS: 0121000078
DIST-CO-RTE-PM01-MEN-20,101-VAR
Award Date05/05/2023
Closeout DateNot set
Work DescriptionPOLYESTER CONCRETE OVERLAY, HMA, STRUCTURAL CONCRETE, BRIDGE (RSC).
Location DescriptionMENDOCINO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/25/2023)

Sample Information

Sample Taken Date04/19/2024 Sample Unique Key2
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 testing04/24/2024
Sample typeQuality Assurance A brief description of the sampleSkid Testing
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 name

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedMoving Lane Closure DIST-CO-RTE
Direction of Travel Post Mile
Lanes to be TestedLane #1 Station123

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

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Test File Attachments