Sample Record

Owner Lab

  • CT HQ - FFS - Skid Testing

DIME Sample ID 2024-07-29-10

Project Information

Project IdentifiersProject ID: 994636
DEA: 022J9604
EFIS: 0221000153
DIST-CO-RTE-PM02-SIS-5-VAR
Award Date05/25/2023
Closeout DateNot set
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY, HMA (TYPE A), & REPLACE JOINT SEALS.
Location DescriptionSISKIYOU COUNTY AT VARIOUS LOCATIONS FROM OAK STREET UNDERCROSSING TO KLAMATH RIVER BRIDGE AND SEPARATION BRIDGE NO. 02-0134R
QA Service Level1 (Verified on 08/07/2023)

Sample Information

Sample Taken Date07/29/2024 Sample Unique Key10
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 testing07/29/2024
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 nameJob Site Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameOak Street UC

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePolyester Concrete
Type of Traffic Control ProvidedMoving Lane Closure DIST-CO-RTE
Direction of TravelSouth Post Mile
Lanes to be TestedLane #1 Station

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-07-29-10-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)Jessie Wilson, CT HQ - FFS - Skid Testing07/29/2024Jessie Wilson
Yes
07/30/2024SB Oak Street UC

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-07-29-10-1 CTM 342-August 2012 (Verified)