Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2023-05-16-5

Project Information

Project IdentifiersProject ID: 994506
DEA: 061F7204
EFIS: 0623000158
DIST-CO-RTE-PM06-TUL-198-14.65, 14.65/14.65
Award DateNot set
Closeout Date11/16/2023
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 03/06/2023)

Sample Information

Sample Taken Date05/16/2023 Sample Unique Key5
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 Control A brief description of the sample1.125" A572 grade 50 plate
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byOscar Last name of sampler or witnessed byVizcaino
Title of sampler Telephone number of sampler16787558969
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameXKT Engineering 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)21943
Material SpecificationA572 Grade50
Thickness1.125 ShapePlate
Metal Foundry Manufacturer (Mill)Claymon Steel Plate Dimension12"x12"

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