Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-03-27-3
Project Information
Project Identifiers | Project ID: 213477 DEA: 080H4704 EFIS: 0812000074 |
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DIST-CO-RTE-PM | 08-SBD-2-2.44 |
Award Date | 09/28/2018 |
Closeout Date | 01/18/2022 |
Work Description | WIDEN BRIDGE TO ACCOMMODATE STANDARD SHOULDERS |
Location Description | AT WRIGHTWOOD AT SHEEP CREEK BRIDGE |
QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
Sample Taken Date | 03/27/2019 | Sample Unique Key | 3 |
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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 testing | 03/27/2019 |
Sample type | Control Sample | A brief description of the sample | Rocker Bearing Coating |
The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
Title of sampler | QA | Telephone number of sampler | 702 917-2503 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Sheep Creek Bridge | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-029-19 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Paint | Batch No. | Unknown |
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Color | Unknown | Batch size | Not set |
Date of Manufacturing | Not set | Paint Specification | Not set |
Paint Specification Version | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |