Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-03-27-3
Project Information
| Project Identifiers | Project ID: 213477 DEA: 080H4704 EFIS: 0812000074 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-2-2.44 |
| Award Date | 09/28/2018 |
| Closeout Date | 01/18/2022 |
| Work Description | WIDEN BRIDGE TO ACCOMMODATE STANDARD SHOULDERS |
| Location Description | AT WRIGHTWOOD AT SHEEP CREEK BRIDGE |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 03/27/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 03/27/2019 |
| Sample type | Control Sample | A brief description of the sample | Rocker Bearing Coating |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sheep Creek Bridge | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-029-19 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Paint | Batch No. | Unknown |
|---|---|---|---|
| Color | Unknown | Batch size | Not set |
| Date of Manufacturing | Not set | Paint Specification | Not set |
| Paint Specification Version | Not set |
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. | |||
