Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-07-29-10
Project Information
Project Identifiers | Project ID: 994636 DEA: 022J9604 EFIS: 0221000153 |
---|---|
DIST-CO-RTE-PM | 02-SIS-5-VAR |
Award Date | 05/25/2023 |
Closeout Date | Not set |
Work Description | PLACE POLYESTER CONCRETE OVERLAY, HMA (TYPE A), & REPLACE JOINT SEALS. |
Location Description | SISKIYOU COUNTY AT VARIOUS LOCATIONS FROM OAK STREET UNDERCROSSING TO KLAMATH RIVER BRIDGE AND SEPARATION BRIDGE NO. 02-0134R |
QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
Sample Taken Date | 07/29/2024 | Sample Unique Key | 10 |
---|---|---|---|
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 | 07/29/2024 |
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 | Job Site | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Oak Street UC |
Material Information
Material Type | Roadway/Bridge Surface | Pavement Surface Type | Polyester Concrete |
---|---|---|---|
Type of Traffic Control Provided | Moving Lane Closure | DIST-CO-RTE | |
Direction of Travel | South | Post Mile | |
Lanes to be Tested | Lane #1 | Station |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-07-29-10-1 CTM 342-August 2012 (Verified)