Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-11-20-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
| Award Date | 11/16/2017 |
| Closeout Date | 12/08/2022 |
| Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
| Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
| Sample Taken Date | 11/20/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/21/2018 |
| Sample type | Verification | A brief description of the sample | 1" x 2 1/4" A325 MG bolt, 1" F436 MG washer |
| The quantity of what the sample constitutes | 5 ea. | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | CA METS QA Inspector | Telephone number of sampler | 801-669-2984 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-227-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | none |
|---|---|---|---|
| Heat Number(s) | 20391740, 0159721 | Nut Mfg. Lot Number(s) | n/a |
| Washer Mfg. Lot Number(s) | Prestige D3945 | Bolt Specification | A325 MG |
| Bolt Length(s) | 2 1/4" | Nut Specification | n/a |
| Washer Specification | F436 MG | Finish | MG |
| Diameter/Size | 1" x 2 1/4" , 1" | Bolt Mfg. Lot Number | SLSB, BMO196 |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) | none |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-11-20-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-20-1-2 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-20-1-3 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-20-1-4 ASTM E18-15 (Verified)
DIME Test ID: 2018-11-20-1-5 ASTM E18-15 (Verified)
