Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-04-23-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213074 DEA: 044G8904 EFIS: 0413000059 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-580-5.8 |
| Award Date | 05/10/2018 |
| Closeout Date | 03/12/2020 |
| Work Description | BIDGE SEISMIC RETROFIT |
| Location Description | CONTRA COSTA COUNTY IN RICHMOND AT SCOFIELD AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 02/13/2018) |
Sample Information
| Sample Taken Date | 04/23/2019 | 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 | 04/26/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 7/8 A325 Bolts, nuts and washers |
| The quantity of what the sample constitutes | 12 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Adame |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 3609531155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CK Johnson Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B53-033-19 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 87C300BA30M |
|---|---|---|---|
| Heat Number(s) | DL1703744,DL15107150,174929 | Nut Mfg. Lot Number(s) | 374243A |
| Washer Mfg. Lot Number(s) | D4936 | Bolt Specification | A325 |
| Bolt Length(s) | 3" | Nut Specification | A563 Hvy HX |
| Washer Specification | F436 | Finish | MG |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | 404238A |
| 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. | |||