Sample Record

DIME Sample ID 2018-12-28-2

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Owner Lab

  • CT - Unassigned/General Field Laboratory

Sample Information

Sample Taken Date12/28/2018 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeIndependent Assurance
A brief description of the sampleF3125 GR A325 Fastener Assembly The quantity of what the sample constitutes135
From where was the sample collectedJob Site First name of sampler or witnessed byWilliam
Last name of sampler or witnessed byClifford Title of samplerINDEPENDENT QA
Telephone number of sampler5103253065 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameUnytite Inc
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)29042-10558410-CALTRANS
Heat Number(s) Nut Mfg. Lot Number(s)29076-6214709002
Washer Mfg. Lot Number(s)D6240 Bolt SpecificationF3125
Bolt Length(s) Nut SpecificationA563 DH
Washer SpecificationF436 Finish
Diameter/Size Bolt Mfg. Lot Number29042-10554810
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

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