Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2019-11-01-12

Project Information

Project IdentifiersProject ID: 213520
DEA: 120M9004
EFIS: 1213000017
DIST-CO-RTE-PM12-ORA-22-R5.6/R10.9
Award Date12/13/2018
Closeout Date09/08/2022
Work DescriptionRECHANNELIZE TO ENHANCE TRAFFIC FLOW
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF BROOKHURST STREET UNDERCROSSING IN GARDEN GROVE TO BEDFORD ROAD OVERCROSSING IN ORANGE
QA Service Level1 (Verified on 09/10/2018)

Sample Information

Sample Taken Date11/01/2019 Sample Unique Key12
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 testing11/06/2019
Sample typeQuality Assurance A brief description of the sample Coupon Castings
The quantity of what the sample constitutes2 From where was the sample collectedDistributor
First name of sampler or witnessed byDebbie Last name of sampler or witnessed byOzuna
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFarrar Transportation Laboratory (TL) NumberNA
Inspector Lot Number from the Transportation Laboratory (TL) FormNA Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM6 - Ductile Iron Cast Samples Heat Number (s)H299
Part Number (s)68 05 144 Material SpecificationA536
Grades80-55-06 Metal Foundry Manufacturer (Mill)Farrar
Prestressing ManufacturerDSI

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