Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-05-02-3
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Project Information
| Project Identifiers | Project ID: 994696 DEA: 100Y7704 EFIS: 1015000008 |
|---|---|
| DIST-CO-RTE-PM | 10-MPA-140-12.0/22.1 |
| Award Date | 07/11/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE AC SURFACING, PLACE HMA AND RHMA, AND BRIDGE REPAIR. |
| Location Description | MARIPOSA COUNTY NEAR MARIPOSA FROM 1.3 MILES EAST OF CATHEYS VALLEY PARK TO 0.1 MILE NORTH OF ROUTE 49 |
| QA Service Level | 1 (Verified on 05/09/2023) |
Sample Information
| Sample Taken Date | 05/02/2024 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 05/24/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Portable Skid Test |
| 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 | AT THE JOB SITE | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Mariposa Creek bridge |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | |
| Direction of Travel | East | Post Mile | 21.60 |
| Lanes to be Tested | Lane #1 | 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. | |||