Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-12-02-23
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 12/02/2021 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 12/06/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Coupon Casting |
| The quantity of what the sample constitutes | 1 | 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 | Dotson Iron Castings | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM6 - Ductile Iron Cast Samples | Heat Number (s) | 3141 |
|---|---|---|---|
| Part Number (s) | 68 19 246 | Material Specification | A536 |
| Grades | 65-45-12 | Metal Foundry Manufacturer (Mill) | Dotson Iron Castings |
| Prestressing Manufacturer | DSI |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-02-23-1 ASTM A370-15 (Verified)