Sample Record

DIME Sample ID 2019-10-29-63

Project Information

Project IdentifiersProject ID: 210837
DEA: 080J0804
EFIS: 0800000283
COOP: 081625
DIST-CO-RTE-PM08-RIV-15-34.7/51.6
Award Date04/17/2017
Closeout Date08/01/2024
Work Description(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location DescriptionRiverside County and SBD-15-0.0/1.3
QA Service Level1 (Verified on 05/08/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/29/2019 Sample Unique Key63
Date that the sample was received by the laboratory/organization performing the testing11/05/2019 Sample typeQuality Assurance
A brief description of the sampleA325 MG Fastener Assembly The quantity of what the sample constitutes12
From where was the sample collectedManufacturer First name of sampler or witnessed byMike
Last name of sampler or witnessed by Foerder Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameUIS
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB285-078-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)TT0121428
Heat Number(s)20403620 Nut Mfg. Lot Number(s)29747
Washer Mfg. Lot Number(s)D7245 Bolt SpecificationA325 MG
Bolt Length(s)1"x6" Nut SpecificationA563 DH
Washer SpecificationF436 FinishMG
Diameter/SizeUnknown Bolt Mfg. Lot NumberBM0269
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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