Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2025-07-07-4

Project Information

Project IdentifiersProject ID: 994828
DEA: 043Y4104
EFIS: 0423000232
DIST-CO-RTE-PM04-CC,SM-680-25.04/25.46, VAR/VAR
Award DateNot set
Closeout DateNot set
Work DescriptionPaint removal and non-destructive testing (NDT) on butt weld connections on T1 type steel in fracture critical members of three distinct existing toll bridge.
Location DescriptionCarquinez Bridge Overhead (Br. No. 23-0015R), Benicia-Martinez Bridge Overhead (Br. No. 28-0153L), and San Mateo-Hayward Bridge (Br. No. 35-0054). County = SM,CC,SOL. Route = 680,80,92.
QA Service Level1 (Verified on 05/16/2023)

Sample Information

Sample Taken Date07/07/2025 Sample Unique Key4
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 testing07/07/2025
Sample typeQuality Assurance A brief description of the sampleA325 HDG Rocap Assembiy
The quantity of what the sample constitutes54 From where was the sample collectedDistributor
First name of sampler or witnessed byEdward Last name of sampler or witnessed byLeach
Title of sampler Telephone number of sampler7072903887
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)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationA325
Bolt Length(s)4-3/4 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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