Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Laboratory

DIME Sample ID 2022-11-10-9

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 DateNot set
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 Date11/10/2022 Sample Unique Key9
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 typeQuality Assurance A brief description of the sample37.6 Machined anchor head
The quantity of what the sample constitutes16 ea From where was the sample collectedFabricator
First name of sampler or witnessed byGreg Last name of sampler or witnessed byThompson
Title of samplerAssociate Steel Inspector Telephone number of sampler510-376-7155
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSchwager Davis Transportation Laboratory (TL) NumberC926091
Inspector Lot Number from the Transportation Laboratory (TL) FormB9-175-22 Structure unique identifier
Structure nameGilman Pedstrian Overcrossing

Material Information

Material TypeSMTL TM6 - Steel Check Sample Plate Heat Number(s)84934
Material SpecificationN/A Gradesae 1045
Thickness5 inches Shaperound
Metal Foundry Manufacturer (Mill)Rudloff SDI Plate Dimension12x 5

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments