Sample Record
DIME Sample ID 2019-10-31-2
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Project Information
| Project Identifiers | Project ID: 214141 DEA: 081J1204 EFIS: 0817000208 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15,91,215-Var |
| Award Date | 06/13/2019 |
| Closeout Date | 02/07/2020 |
| Work Description | REMOVE, PREPARE AND FURNISH POLYESTER CONCRETE OVERLAY. |
| Location Description | RIVERSIDE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/23/2019) |
Owner Lab
- CT HQ - QASI Sacramento Field Office
Sample Information
| Sample Taken Date | 10/31/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Quality Assurance |
| A brief description of the sample | A325 HDG Rocap Assembiy | The quantity of what the sample constitutes | 24 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Mahlon |
| Last name of sampler or witnessed by | Lindenmuth | Title of sampler | QA Inspector |
| Telephone number of sampler | 646-740-3704 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | CK Johnson | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-922-19 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 424370B |
|---|---|---|---|
| Heat Number(s) | 100896901 | Nut Mfg. Lot Number(s) | 406871A |
| Washer Mfg. Lot Number(s) | C6542D | Bolt Specification | A325 |
| Bolt Length(s) | 2-1/4" | Nut Specification | A563 Grade DH |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 424370B |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Lubed | |
| Washer Inner Diameter(s) | Bolt Mill Supplier | Not set | |
| Nut Mill Supplier | Not set | Washer Mill Supplier | Not set |
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. | |||