Sample Record

DIME Sample ID 2018-08-17-2

Project Information

Project IdentifiersProject ID: 212956
DEA: 080R3404
EFIS: 0812000072
DIST-CO-RTE-PM08-SBD-38-30.9
Award Date03/06/2018
Closeout Date09/30/2019
Work DescriptionBRIDGE REHABILITATION AND UPGRADE BRIDGE RAILING TO STANDARDS
Location DescriptionSAN BERNARDINO COUNTY NEAR ANGELUS OAKS AT SANTA ANA RIVER BRIDGERAM
QA Service Level1 (Verified on 05/09/2018)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date08/17/2018 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing08/17/2018 Sample typeQuality Assurance
A brief description of the sampleA325 HDG Rocap Assembiy The quantity of what the sample constitutes3
From where was the sample collectedFabricator First name of sampler or witnessed byLorenzo
Last name of sampler or witnessed byGarcia Title of samplerQA
Telephone number of sampler702 917-2503 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCFabrication
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormL115-157-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)3072436 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationA325
Bolt Length(s)4-5/16" Nut SpecificationA563
Washer SpecificationF436 FinishGalvanized
Diameter/Size3/4 Bolt Mfg. Lot Number51790-2
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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