Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2018-11-01-7

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date11/01/2018 Sample Unique Key7
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 testing11/01/2018
Sample typeQuality Assurance A brief description of the sampleA709 Steel Check Sample
The quantity of what the sample constitutes1 From where was the sample collectedFabricator
First name of sampler or witnessed byJoe Last name of sampler or witnessed byLanz
Title of samplerQuality Assurance Inspector Telephone number of sampler707 208-5241
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameXKT Engineering Transportation Laboratory (TL) NumberC741327
Inspector Lot Number from the Transportation Laboratory (TL) FormL106-021-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM6 - Steel Check Sample Plate Heat Number(s)D2774
Material SpecificationA709 Grade50W
Thickness0.3125" ShapePlate
Metal Foundry Manufacturer (Mill)Arcelormittal Plate Plate Dimension12" x 12"

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