Sample Record
Owner Labs
- Caltrans IA
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-04-19-2
Project Information
Project Identifiers | Project ID: 994538 DEA: 010L1704 EFIS: 0121000078 |
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DIST-CO-RTE-PM | 01-MEN-20,101-VAR |
Award Date | 05/05/2023 |
Closeout Date | Not set |
Work Description | POLYESTER CONCRETE OVERLAY, HMA, STRUCTURAL CONCRETE, BRIDGE (RSC). |
Location Description | MENDOCINO COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 04/25/2023) |
Sample Information
Sample Taken Date | 04/19/2024 | Sample Unique Key | 2 |
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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 | 04/24/2024 |
Sample type | Quality Assurance | A brief description of the sample | Skid Testing |
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 |
Material Information
Material Type | Roadway/Bridge Surface | Pavement Surface Type | PCC (Portland Cement Concrete) |
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Type of Traffic Control Provided | Moving Lane Closure | DIST-CO-RTE | |
Direction of Travel | Post Mile | ||
Lanes to be Tested | Lane #1 | Station | 123 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |