Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2024-10-04-59

Project Information

Project IdentifiersProject ID: 994673
DEA: 033F0704
EFIS: 0312000054
DIST-CO-RTE-PM03-SAC-51-2.0/3.5
Award Date08/17/2023
Closeout DateNot set
Work DescriptionAmerican River Bridge Rehabilitation
Location DescriptionNot set
QA Service Level1 (Verified on 05/15/2023)

Sample Information

Sample Taken Date10/04/2024 Sample Unique Key59
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 testing10/08/2024
Sample typeQuality Assurance A brief description of the sampleASTM F3125 Grade A325 7/8-j9 x 2 1/4 Tension Control Assembly
The quantity of what the sample constitutes2400 From where was the sample collectedSupplier
First name of sampler or witnessed byYannick Last name of sampler or witnessed byAranas
Title of sampler Telephone number of sampler9166394315
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay Bolt Oakland, Ca Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)W000024087
Heat Number(s) Nut Mfg. Lot Number(s)8000015558
Washer Mfg. Lot Number(s)B64400 Bolt SpecificationASTM F3125
Bolt Length(s) Nut SpecificationASTM F3125
Washer SpecificationASTM F3125 FinishMech Galv
Diameter/Size7/8 Bolt Mfg. Lot Number1000115198
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

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