Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2022-06-24-45

Project Information

Project IdentifiersProject ID: 215255
DEA: 040A7714
EFIS: 0420000287
DIST-CO-RTE-PM04-ALA-80-6.4-6.6
Award Date05/03/2021
Closeout Date12/01/2023
Work DescriptionCONSTRUCT PEDESTRIAN OVERCROSSING BRIDGE AND RETAINING WALLS. GILMAN INTERCHANGE IMPROVEMENTS
Location DescriptionALAMEDA COUNTY IN BERKELEY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.1 MILE SOUTH OF GILMAN STREET UNDERCROSSING
QA Service Level1 (Verified on 12/07/2020)

Sample Information

Sample Taken Date06/24/2022 Sample Unique Key45
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 testing07/06/2022
Sample typeQuality Assurance A brief description of the sampleForged Hanger Assembly Pin
The quantity of what the sample constitutes24,200 lbs From where was the sample collectedFabricator
First name of sampler or witnessed byMark Last name of sampler or witnessed byLara
Title of samplerMETS QA Inspector Telephone number of sampler6106624557
Laboratory sample identificationCODE ZZN13 Linked DIME Sample ID
The fabricator/manufacturer/facility nameDyson Forge Painesville OH Transportation Laboratory (TL) NumberB391-06-10-2022
Inspector Lot Number from the Transportation Laboratory (TL) FormB391-014 Structure unique identifier33-6674
Structure nameGilman St POC

Material Information

Material TypeSMTL TM6 - Ductile Iron Cast Samples Heat Number (s)S3333
Part Number (s)ZZN13 Material SpecificationN/A
GradesN/A Metal Foundry Manufacturer (Mill)Ellwood National Steel
Prestressing ManufacturerNot applicable

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments