Sample Record

DIME Sample ID 2017-12-20-5

Project Information

Project IdentifiersProject ID: 211931
DEA: 043G6414
EFIS: 0416000348
DIST-CO-RTE-PM04-NAP-29-37.0
Award Date03/17/2017
Closeout Date04/22/2020
Work DescriptionSCOUR REPLACE BRIDGE
Location DescriptionNAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE
QA Service Level1 (Verified on 02/15/2017)

Owner Lab

  • CT - Unassigned/General Field Laboratory

Sample Information

Sample Taken Date12/20/2017 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing12/22/2017 Sample typeQuality Assurance
A brief description of the sample 7/8 x 31-3/8 A325 Bolts The quantity of what the sample constitutes5
From where was the sample collectedSource First name of sampler or witnessed byJames
Last name of sampler or witnessed byShelton Title of samplerQA
Telephone number of sampler530-906-2714 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility namePortland Bolt Manufacturing
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormS40-057-17
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)3065481 Nut Mfg. Lot Number(s)23855-6214130704
Washer Mfg. Lot Number(s)0717-584 Bolt SpecificationA325
Bolt Length(s)31-3/8 Nut SpecificationA563
Washer SpecificationF436 FinishHDG
Diameter/Size7/8 x 31-38 Bolt Mfg. Lot Number18558
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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