Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2018-07-12-7
Project Information
| Project Identifiers | Project ID: 210077 DEA: 043G9204 EFIS: 0414000507 COOP: 042565 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-880-9.5/10.0 |
| Award Date | Not set |
| Closeout Date | 02/10/2021 |
| Work Description | Conversion of HOV Lanes to Express Lanes on I-880 ; Installation of the necessary Backhaul Communicaiton Network from Rte 237 to Hegenberger Road |
| Location Description | Between Rte 237 and Lewelling Road and I-880 SB between Rte 237 and Hegenberger Road. |
| QA Service Level | 2 (Verified on 09/20/2017) |
Sample Information
| Sample Taken Date | 07/12/2018 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 07/12/2018 |
| Sample type | Verification | A brief description of the sample | Overhead Sign Bolting |
| The quantity of what the sample constitutes | 2219 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Gray |
| Title of sampler | QA Inspector | Telephone number of sampler | 5593134832 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Structural and Steel Products | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | AVS102-050-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | ||
| Washer Mfg. Lot Number(s) | Bolt Specification | A325 | |
| 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) | ||
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
