Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2023-04-10-5

Project Information

Project IdentifiersProject ID: 993173
DEA: 042J88U4
EFIS: 0418000401
DIST-CO-RTE-PM04-NAP-29-38.9/42.9
Award Date03/16/2026
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 09/19/2022)

Sample Information

Sample Taken Date04/10/2023 Sample Unique Key5
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 testing04/10/2023
Sample typeQuality Assurance A brief description of the sample#4 Square Rebar
The quantity of what the sample constitutes1 From where was the sample collectedOther
First name of sampler or witnessed byMike Last name of sampler or witnessed byMullins
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM6 - Steel Check Sample Plate Heat Number(s)NA
Material SpecificationN/A GradeNA
Thickness.5" ShapeTrapezoid
Metal Foundry Manufacturer (Mill)NA Plate Dimension3" long .5" thick

Submitted Tests

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

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Test File Attachments