Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2018-07-03-5
Project Information
Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
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DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
Award Date | 03/12/2018 |
Closeout Date | 10/05/2020 |
Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
Sample Taken Date | 07/03/2018 | Sample Unique Key | 5 |
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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 | 07/03/2018 |
Sample type | Quality Assurance | A brief description of the sample | A325 Assembly |
The quantity of what the sample constitutes | xxx | From where was the sample collected | Source |
First name of sampler or witnessed by | Tory | Last name of sampler or witnessed by | McLaurin |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 6616185971 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Ulmer Industries | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L67-056-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Nut Mfg. Lot Number(s) | ||
Washer Mfg. Lot Number(s) | Bolt Specification | F3125 | |
Bolt Length(s) | Unknown | Nut Specification | A563 |
Washer Specification | F436 | Finish | |
Diameter/Size | Unknown | Bolt Mfg. Lot Number | |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |