Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-06-11-16
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 995083 DEA: 051R1604 EFIS: 0523000152 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-82.18, 82.2/82.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Repair high-load hit |
| Location Description | Near Santa Maria, US101 and Clark Ave overcrossing. |
| QA Service Level | 1 (Verified on 08/17/2023) |
Sample Information
| Sample Taken Date | 06/11/2024 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 06/11/2024 |
| Sample type | Acceptance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | BRIDGE DECK | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | HARISH | Last name of sampler or witnessed by | THAKUR |
| Title of sampler | Telephone number of sampler | 9152961873 | |
| 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) |
|---|---|---|---|
| Type of Traffic Control Provided | Moving Lane Closure | DIST-CO-RTE | |
| Direction of Travel | Post Mile | ||
| Lanes to be Tested | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-11-16-1 CTM 342-August 2012 (Verified)