Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-05-02-3

Project Information

Project IdentifiersProject ID: 994696
DEA: 100Y7704
EFIS: 1015000008
DIST-CO-RTE-PM10-MPA-140-12.0/22.1
Award Date07/11/2023
Closeout DateNot set
Work DescriptionREPLACE AC SURFACING, PLACE HMA AND RHMA, AND BRIDGE REPAIR.
Location DescriptionMARIPOSA COUNTY NEAR MARIPOSA FROM 1.3 MILES EAST OF CATHEYS VALLEY PARK TO 0.1 MILE NORTH OF ROUTE 49
QA Service Level1 (Verified on 05/09/2023)

Sample Information

Sample Taken Date05/02/2024 Sample Unique Key3
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 testing05/24/2024
Sample typeQuality Assurance A brief description of the samplePortable Skid Test
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 nameAT THE JOB SITE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameMariposa Creek bridge

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedStationary Lane Closure DIST-CO-RTE
Direction of TravelEast Post Mile21.60
Lanes to be TestedLane #1 Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-05-02-3-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)HARISH THAKUR, CT HQ - FFS - Skid Testing05/21/2024HARISH THAKUR
Yes
05/22/2024MARIPOSA CREEK BRIDGE/BR#40-0002

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-05-02-3-1 CTM 342-August 2012 (Verified)