Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-11-10-9
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Project Information
| Project Identifiers | Project ID: 215255 DEA: 040A7714 EFIS: 0420000287 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-6.4-6.6 |
| Award Date | 05/03/2021 |
| Closeout Date | 12/01/2023 |
| Work Description | CONSTRUCT PEDESTRIAN OVERCROSSING BRIDGE AND RETAINING WALLS. GILMAN INTERCHANGE IMPROVEMENTS |
| Location Description | ALAMEDA COUNTY IN BERKELEY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.1 MILE SOUTH OF GILMAN STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
| Sample Taken Date | 11/10/2022 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 37.6 Machined anchor head |
| The quantity of what the sample constitutes | 16 ea | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Schwager Davis | Transportation Laboratory (TL) Number | C926091 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-175-22 | Structure unique identifier | |
| Structure name | Gilman Pedstrian Overcrossing |
Material Information
| Material Type | SMTL TM6 - Steel Check Sample Plate | Heat Number(s) | 84934 |
|---|---|---|---|
| Material Specification | N/A | Grade | sae 1045 |
| Thickness | 5 inches | Shape | round |
| Metal Foundry Manufacturer (Mill) | Rudloff SDI | Plate Dimension | 12x 5 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||