Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-07-17-2

Project Information

Project IdentifiersProject ID: 212577
DEA: 11408704
EFIS: 1112000017
DIST-CO-RTE-PM11-SD-8-9.0/15.3
Award Date10/31/2017
Closeout Date12/09/2019
Work DescriptionSLAB REPLACEMENT, COLD PLANE, GRIND PAVEMENT AND REPLACE GUARDRAIL.
Location DescriptionSAN DIEGO COUNTY FROM 0.6 MILE WEST OF LAKE MURRAY BOULEVARD OVERCROSSING IN SAN DIEGO TO JOHNSON AVENUE UNDERCROSSING IN EL CAJON
QA Service Level1 (Verified on 01/19/2018)

Sample Information

Sample Taken Date07/17/2018 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleSingle sheet aluminum sign panel
The quantity of what the sample constitutes20 From where was the sample collectedManufacturer
First name of sampler or witnessed byJeffrey Last name of sampler or witnessed bySulka
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMaterial sign Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeThermoplastic Batch No.
Color Thermo Viscosity GradeExtrude

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.