Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2025-02-10-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995361 DEA: 072XF604 EFIS: 0723000126 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33-24.25/27.3 |
| Award Date | 03/01/2023 |
| Closeout Date | Not set |
| Work Description | Rebuild the eroded side slopes, rebuild the damaged shoulders, reconstruct the dike, repair the sinkhole on the shoulder, repair the eroded areas next to EP, behind guardrail, and around the flumes, reinstall guardrail, rebuild RSP, clean the drainage systems, construct a SPW |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/27/2023) |
Sample Information
| Sample Taken Date | 02/10/2025 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 02/10/2025 |
| Sample type | Quality Assurance | A brief description of the sample | A449 ATR |
| The quantity of what the sample constitutes | 40 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | Telephone number of sampler | 8014626352 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Industrial Sales, Inc. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-022-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 223964 | Nut Mfg. Lot Number(s) | na |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | A449 |
| Bolt Length(s) | 12" | Nut Specification | na |
| Washer Specification | na | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
| 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. | |||