Sample Record
Owner Labs
- CT HQ - FFS - Skid Testing
- CT SC - 3665 - Stockton
DIME Sample ID 2024-04-23-6
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994605 DEA: 101N5104 EFIS: 1021000203 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5-R23.9 |
| Award Date | 05/08/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE JOINT SEALS AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE. |
| Location Description | SAN JOAQUIN COUNTY IN STOCKTON AT WALKER SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 04/18/2023) |
Sample Information
| Sample Taken Date | 04/23/2024 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/26/2024 |
| Sample type | Department Acceptance | A brief description of the sample | Skid Testing Request |
| The quantity of what the sample constitutes | None | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Armando | Last name of sampler or witnessed by | Jose |
| Title of sampler | Telephone number of sampler | 2096080054 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik Bond Polymers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Walker Slough Br. No. 29-0223L/R |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | D10-SJ-Hwy 5 |
| Direction of Travel | South | Post Mile | 23.90 |
| Lanes to be Tested | Lane #2 | Station |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||