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Sample Record for 2017-02-09-1

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 210097 DEA: 100L9704 EFIS: 1012000053 QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO-120-R19.5/R20.0
Work Description: REPLACE DECK AND RETROFIT BRIDGE.
Location Description: IN TUOLUMNE COUNTY ON STATE ROUTE 120 FROM 7.6 MILES EAST OF YOSEMITEJUNCTION TO 4.8 MILES WEST OF THE TOWN OF MOCCASIN AT TUOLUMNE RIVER/DON PEDRO RESERVOIR (JAMES E.
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Corey Casey Structure Rep.: Ehab Wahed

Sample Information

DIME Sample ID: 2017-02-09-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Verification
Type of Material: SMTL TM6 - Steel Check Sample Plate
Sample Taken Date: 02/09/2017
Date that the sample was received by the laboratory/organization performing the testing: 02/13/2017
The quantity of what the sample constitutes: 1
A brief description of the sample: Existing Steel Girder Sample
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

Material Information

Heat Number(s): Unknown
Material Specification: A572
Grade: HPS 100W
Thickness: 2.5"
Shape: Round
Metal Foundry Manufacturer (Mill): Unknown
Plate Dimension: 3" Diameter

Test Results

Test 1 of 1

DIME Test ID: 2017-02-09-1-1
Test Method: SMTL CHEM-16: Steel Chemistry Analysis
Verified Date: 02/21/2017
Date Tested: 02/16/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Result Fail

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.