Sample Record

DIME Sample ID 2018-07-03-5

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Owner Lab

  • CT - Unassigned/General Field Laboratory

Sample Information

Sample Taken Date07/03/2018 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing07/03/2018 Sample typeQuality Assurance
A brief description of the sampleA325 Assembly The quantity of what the sample constitutesxxx
From where was the sample collectedSource First name of sampler or witnessed byTory
Last name of sampler or witnessed byMcLaurin Title of samplerQuality Assurance Inspector
Telephone number of sampler6616185971 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameUlmer Industries
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormL67-056-18
Structure unique identifierNot set Structure nameNot set
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 SpecificationF3125
Bolt Length(s)Unknown Nut SpecificationA563
Washer SpecificationF436 Finish
Diameter/SizeUnknown Bolt Mfg. Lot Number
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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments