Sample Record

Owner Labs

  • CT HQ - Sacramento Structural Materials Testing Laboratory
  • CT HQ - Sacramento Chemistry Laboratory

DIME Sample ID 2023-11-17-43

Project Information

Project IdentifiersProject ID: 995498
DEA: 072XL104
EFIS: 0724000158
DIST-CO-RTE-PM07-LA-10-14.23
Award DateNot set
Closeout DateNot set
Work DescriptionColumn Casings Repair Work
Location DescriptionNot set
QA Service Level1 (Verified on 11/20/2023)

Sample Information

Sample Taken Date11/17/2023 Sample Unique Key43
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 testing11/17/2023
Sample typePer Request A brief description of the sampleRebar from I-10 fire
The quantity of what the sample constitutes1 #11 bar, 2 #4 bars, 1 #5 bar From where was the sample collectedJob Site
First name of sampler or witnessed byDavid Last name of sampler or witnessed byMurray
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM6 - Ductile Iron Cast Samples Heat Number (s)NA
Part Number (s)NA Material SpecificationN/A
GradesN/A Metal Foundry Manufacturer (Mill)NA
Prestressing ManufacturerNA

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