Sample Record for 2022-11-04-4
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Project Information
Project ID: 993727 DEA: 112E1544 EFIS: 1119000022
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-34.9/35.8
Work Description: San Dieguito Lagoon Restoration
Location Description: San Dieguito Lagoon
Contractor Name: Marathon Construction
Contractor Address: 10108 Riverford Road, Lakeside, CA 92040
Resident Engineer: Jared Corbitt Structure Rep.: Chad Lim
Sample Information
DIME Sample ID: 2022-11-04-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/04/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2022
The quantity of what the sample constitutes: 3000
A brief description of the sample: A325 Fastener Assembly
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: San Dieguito Lagoon
The fabricator/manufacturer/facility name: Contech Engineered Solutions
Material Information
Rocap Number(s): 2
Heat Number(s): 10753830, 20752570, 64400
Nut Mfg. Lot Number(s): E240F1
Washer Mfg. Lot Number(s): E2972
Bolt Specification: ASTM A325
Bolt Length(s): 2.25"
Nut Specification: ASTM A563
Washer Specification: F436
Finish: ASTM A123 - HDG
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: BG2219
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
