Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2024-03-06-5

Project Information

Project IdentifiersProject ID: 994119
DEA: 033H3904
EFIS: 0317000340
DIST-CO-RTE-PM03-SAC-5-22.4
Award Date09/21/2022
Closeout DateNot set
Work DescriptionSTRUCTURAL STEEL BRIDGE AND PRESTRESS STEEL GIRDERS.
Location DescriptionSACRAMENTO COUNTY IN SACRAMENTO AT THE SOUTH CONNECTOR UNDERCROSSING (BRIDGE NO. 24-0267)
QA Service Level1 (Verified on 07/18/2022)

Sample Information

Sample Taken Date03/06/2024 Sample Unique Key5
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 testing03/07/2024
Sample typeQuality Assurance A brief description of the sample5/16" A572 gr 50
The quantity of what the sample constitutes(1) 5/16" x 96" x 48" Plate From where was the sample collectedFabricator
First name of sampler or witnessed byJamie Last name of sampler or witnessed byDoe
Title of samplerAssociate Steel Inspector Telephone number of sampler916-838-4505
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameC&K Johnson Ind. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS50-008-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM6 - Steel Check Sample Plate Heat Number(s)RS7960
Material SpecificationA572 Grade50
Thickness.3125" ShapePlate
Metal Foundry Manufacturer (Mill)Evraz Inc Plate Dimension96 x 48

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments