Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-04-23-1

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date04/23/2020 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeAcceptance A brief description of the sampleMaterial was subject to fire and high heat. Testing will provide acceptance of material. Varied sizes of steel reinforcement bars cut from field. and set of control from same heat
The quantity of what the sample constitutes15 From where was the sample collectedJob Site
First name of sampler or witnessed byNicholas Last name of sampler or witnessed byHoffmann
Title of samplerAssistant METS Representative Telephone number of sampler5105429827
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameTolbert Ave Wingwall

Material Information

Material TypeSMTL TM6 - Ductile Iron Cast Samples Heat Number (s)na
Part Number (s)na Material SpecificationA536
Grades80-55-06 Metal Foundry Manufacturer (Mill)na
Prestressing Manufacturerna

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.