Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2024-11-21-1

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 Date11/21/2024 Sample Unique Key1
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 testing11/21/2024
Sample typeQuality Assurance A brief description of the sampleASTM F3125 Grade A325 7/8-9 x 2 1/2 Tension Control Assembly
The quantity of what the sample constitutes280 From where was the sample collectedJob Site
First name of sampler or witnessed byEDWARD Last name of sampler or witnessed byLEACH
Title of samplerQuality Assurance Inspector Telephone number of sampler7072903887
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmerican River Constructors 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)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationASTM F3125
Bolt Length(s) Nut SpecificationASTM A563
Washer SpecificationASTM F436 Finish
Diameter/Size Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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