Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-07-17-2
Project Information
| Project Identifiers | Project ID: 212577 DEA: 11408704 EFIS: 1112000017 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-8-9.0/15.3 |
| Award Date | 10/31/2017 |
| Closeout Date | 12/09/2019 |
| Work Description | SLAB REPLACEMENT, COLD PLANE, GRIND PAVEMENT AND REPLACE GUARDRAIL. |
| Location Description | SAN DIEGO COUNTY FROM 0.6 MILE WEST OF LAKE MURRAY BOULEVARD OVERCROSSING IN SAN DIEGO TO JOHNSON AVENUE UNDERCROSSING IN EL CAJON |
| QA Service Level | 1 (Verified on 01/19/2018) |
Sample Information
| Sample Taken Date | 07/17/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Single sheet aluminum sign panel |
| The quantity of what the sample constitutes | 20 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jeffrey | Last name of sampler or witnessed by | Sulka |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Material sign | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Thermoplastic | Batch No. | |
|---|---|---|---|
| Color | Thermo Viscosity Grade | Extrude |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
