Sample Record

DIME Sample ID 2019-02-12-1

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date02/12/2019 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing02/13/2019 Sample typeAuthorization
A brief description of the sampleZinc Rich Primer The quantity of what the sample constitutes1
From where was the sample collectedManufacturer First name of sampler or witnessed byKeivan
Last name of sampler or witnessed byHassan Title of samplerMETS Rep
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameZRC Worldwide
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypePaint Batch NumberUnknown
ColorUnknown Batch sizeNot set
Date of ManufacturingNot set Paint SpecificationNot set
Paint Specification VersionNot set Paint Specification if not listedNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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