Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2025-04-28-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994358 DEA: 033J3304 EFIS: 0322000251 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-12-0/0.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | MMBN Project. Replace backup drive system, replace lift span deck, install hydraulic barrier system and new generator, replace electrical control system, install new traffic gates and elevators, traffic control, |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/25/2022) |
Sample Information
| Sample Taken Date | 04/28/2025 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 testing | 05/05/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 7/8-9 x 2 ½ |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Garcia Arreola |
| Title of sampler | AMR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | XKT Engineering | 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) | E367S1R |
|---|---|---|---|
| Heat Number(s) | 10917500 8000030539 240419 | Nut Mfg. Lot Number(s) | W000195536 |
| Washer Mfg. Lot Number(s) | E7373 | Bolt Specification | ASTM F3125 A325: 7/8”-9 x 2(1/2)” |
| Bolt Length(s) | 2-1/2 | Nut Specification | 7/8-9 Gr DH HVY HEX HOT DIP ASTM A563 |
| Washer Specification | 7/8” Hot DIP ASTM F436 | Finish | Plain |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | E367S1 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| M0506-0663 Dime Number 2025-04-28-5 | 06/01/2025 | Info |
Test File Attachments
DIME Test ID: 2025-04-28-5-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-04-28-5-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-04-28-5-3 ASTM E18-20 (Verified)
DIME Test ID: 2025-04-28-5-4 ASTM E18-20 (Verified)
DIME Test ID: 2025-04-28-5-5 ASTM F606-21 (Verified)