Sample Record

DIME Sample ID 2020-04-23-1

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 Date04/23/2020 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the sampleMaterial was subject to fire and high heat. Testing will provide acceptance of material. Varied sizes of steel reinforcement bars cut from field. and set of control from same heat The quantity of what the sample constitutes15
From where was the sample collectedJob Site First name of sampler or witnessed byNicholas
Last name of sampler or witnessed byHoffmann Title of samplerAssistant METS Representative
Telephone number of sampler5105429827 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameTolbert Ave Wingwall
Bid ItemNot set

Material Information

Material TypeSMTL TM6 - Ductile Iron Cast Samples Heat Number (s)na
Part Number (s)na Material SpecificationA536
Grades80-55-06 Metal Foundry Manufacturer (Mill)na
Prestressing Manufacturerna

Submitted Tests

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