Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-06-26-28

Project Information

Project IdentifiersProject ID: 994675
DEA: 07390204
EFIS: 0722000334
DIST-CO-RTE-PM07---
Award Date01/24/2025
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 08/07/2023)

Sample Information

Sample Taken Date06/26/2025 Sample Unique Key28
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleSteel Check Plate
The quantity of what the sample constitutes1 From where was the sample collectedJob Site
First name of sampler or witnessed byGary Last name of sampler or witnessed byPark
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 name Bid ItemNot set

Material Information

Material TypeSMTL TM6 - Steel Check Sample Plate Heat Number(s)NA
Material SpecificationN/A GradeASTM A373 GR 32
Thickness2.25 Shapecircle
Metal Foundry Manufacturer (Mill)NA Plate Dimension3.625 IN dia

Submitted Tests

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Test File Attachments