Sample Record

DIME Sample ID 2019-04-18-1

Project Information

Project IdentifiersProject ID: 211784
DEA: 11085784
EFIS: 1100000064
DIST-CO-RTE-PM11-SD-163-4.1/4.9
Award Date06/16/2017
Closeout Date08/10/2021
Work DescriptionINTERCHANGE MODIFICATION AND OVERCROSSING WIDENING.
Location DescriptionSAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF FRIARS ROAD OVERCROSSING
QA Service Level1 (Verified on 09/05/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/18/2019 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing04/18/2019 Sample typeQuality Assurance
A brief description of the sampleHilti HVU Adheasive Capsule The quantity of what the sample constitutes5
From where was the sample collectedFabricator First name of sampler or witnessed byLorenzo
Last name of sampler or witnessed byGarcia Title of samplerQA
Telephone number of sampler702 917-2503 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameStructural and Steel Products
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL115-054-19
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)8211408
Batch NumberHIT HY 200 R Mix number337111

Submitted Tests

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

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Test File Attachments