Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-11-21-1
Project Information
| Project Identifiers | Project ID: 994673 DEA: 033F0704 EFIS: 0312000054 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51-2.0/3.5 |
| Award Date | 08/17/2023 |
| Closeout Date | Not set |
| Work Description | American River Bridge Rehabilitation |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 11/21/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 11/21/2024 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM F3125 Grade A325 7/8-9 x 2 1/2 Tension Control Assembly |
| The quantity of what the sample constitutes | 280 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | EDWARD | Last name of sampler or witnessed by | LEACH |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 7072903887 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American River Constructors | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | ||
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F3125 | |
| Bolt Length(s) | Nut Specification | ASTM A563 | |
| Washer Specification | ASTM F436 | Finish | |
| Diameter/Size | Bolt Mfg. Lot Number | ||
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
