Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-05-03-17
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Project Information
| Project Identifiers | Project ID: 994785 DEA: 023H32U4 EFIS: 0221000164 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-I5-2.5/R15.9 |
| Award Date | 04/28/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/03/2023) |
Sample Information
| Sample Taken Date | 05/03/2024 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 05/03/2024 |
| 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 | Mainline NB I5 PM 15.0/15.9 |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | JPCP (Jointed Plain Concrete Pavement) |
|---|---|---|---|
| Type of Traffic Control Provided | Behind K-Rail/Barrier | DIST-CO-RTE | |
| Direction of Travel | Post Mile | ||
| Lanes to be Tested | On Ramp | Station | 23.50 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-03-17-1 CTM 342-August 2012 (Verified)
DIME Test ID: 2024-05-03-17-2 CTM 342-August 2012 (Verified)
DIME Test ID: 2024-05-03-17-3 CTM 342-August 2012 (Verified)
DIME Test ID: 2024-05-03-17-4 CTM 342-August 2012 (Verified)
DIME Test ID: 2024-05-03-17-5 CTM 342-August 2012 (Verified)