Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-11-01-12
Project Information
Project Identifiers | Project ID: 213520 DEA: 120M9004 EFIS: 1213000017 |
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DIST-CO-RTE-PM | 12-ORA-22-R5.6/R10.9 |
Award Date | 12/13/2018 |
Closeout Date | 09/08/2022 |
Work Description | RECHANNELIZE TO ENHANCE TRAFFIC FLOW |
Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF BROOKHURST STREET UNDERCROSSING IN GARDEN GROVE TO BEDFORD ROAD OVERCROSSING IN ORANGE |
QA Service Level | 1 (Verified on 09/10/2018) |
Sample Information
Sample Taken Date | 11/01/2019 | Sample Unique Key | 12 |
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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 | 11/06/2019 |
Sample type | Quality Assurance | A brief description of the sample | Coupon Castings |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Debbie | Last name of sampler or witnessed by | Ozuna |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Farrar | Transportation Laboratory (TL) Number | NA |
Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM6 - Ductile Iron Cast Samples | Heat Number (s) | H299 |
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Part Number (s) | 68 05 144 | Material Specification | A536 |
Grades | 80-55-06 | Metal Foundry Manufacturer (Mill) | Farrar |
Prestressing Manufacturer | DSI |
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. |