Sample Record
Owner Labs
- CT SC - 3665 - Stockton
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-08-20-7
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000084 DEA: 101R5604 EFIS: 1023000177 |
|---|---|
| DIST-CO-RTE-PM | 10-CAL,SJ-5,26,99-Var |
| Award Date | 04/24/2024 |
| Closeout Date | Not set |
| Work Description | INSTALL HIGH FRICTION SURFACE TREATMENT AND REPLACE DELINEATION. |
| Location Description | CALAVERAS AND SAN JOAQUIN COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/29/2024) |
Sample Information
| Sample Taken Date | 08/20/2024 | Sample Unique Key | 7 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/20/2024 |
| Sample type | Acceptance | A brief description of the sample | HFST |
| The quantity of what the sample constitutes | 2626 SQYD | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Armando | Last name of sampler or witnessed by | Jose |
| Title of sampler | Structure Representative | Telephone number of sampler | 209-608-0054 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | FasTrac Construction Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 29-0309G | |
| Structure name | N99-W4 Connector Undercrossing |
Material Information
| Material Type | High Friction Surface Treatment | Mgf. Lot Number(s) | 1 |
|---|---|---|---|
| Batch Number | 1 | Mix Number | Fastrac 246 |
| Resin Binder Type | Epoxy | Used for Overlay | Yes |
| Used for Inlay | No |
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. | |||