Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-03-27-3

Project Information

Project IdentifiersProject ID: 213477
DEA: 080H4704
EFIS: 0812000074
DIST-CO-RTE-PM08-SBD-2-2.44
Award Date09/28/2018
Closeout Date01/18/2022
Work DescriptionWIDEN BRIDGE TO ACCOMMODATE STANDARD SHOULDERS
Location DescriptionAT WRIGHTWOOD AT SHEEP CREEK BRIDGE
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date03/27/2019 Sample Unique Key3
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 testing03/27/2019
Sample typeControl Sample A brief description of the sampleRocker Bearing Coating
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler702 917-2503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSheep Creek Bridge Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-029-19 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypePaint Batch No.Unknown
ColorUnknown Batch sizeNot set
Date of ManufacturingNot set Paint SpecificationNot set
Paint Specification VersionNot set

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