Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-04-18-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211784 DEA: 11085784 EFIS: 1100000064 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-163-4.1/4.9 |
| Award Date | 06/16/2017 |
| Closeout Date | 08/10/2021 |
| Work Description | INTERCHANGE MODIFICATION AND OVERCROSSING WIDENING. |
| Location Description | SAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF FRIARS ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/05/2017) |
Sample Information
| Sample Taken Date | 04/18/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/18/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Hilti HVU Adheasive Capsule |
| The quantity of what the sample constitutes | 5 | From where was the sample collected | Fabricator |
| 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 | Structural and Steel Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-054-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 8211408 |
|---|---|---|---|
| Batch number | HIT HY 200 R | Mix number | 337111 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||