Sample Record

DIME Sample ID 2019-11-13-12

Project Information

Project IdentifiersProject ID: 214399
DEA: 044Q3404
EFIS: 0419000383
DIST-CO-RTE-PM04-MRN-580-1.3, 1.30
Award Date05/23/2019
Closeout Date03/16/2021
Work DescriptionNear San Quentin, in the Richmond-San Rafael Bridge, heat straightening truss chords
Location DescriptionNear San Quentin, in the Richmond-San Rafael Bridge
QA Service Level1 (Verified on 09/06/2019)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date11/13/2019 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testing11/19/2019 Sample typeQuality Assurance
A brief description of the sampleA325 HDGalv Fastener assemblies The quantity of what the sample constitutes55 assemblies
From where was the sample collectedDistributor First name of sampler or witnessed byGreg
Last name of sampler or witnessed byThompson Title of samplerAssociate Steel Inspector
Telephone number of sampler510-376-7155 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBay Bolt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB9-113-19
Structure unique identifier Structure nameunknown
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)6693-01
Heat Number(s)DL17103751 Nut Mfg. Lot Number(s)413071C
Washer Mfg. Lot Number(s)0818-925 Bolt SpecificationASTM F3125 A325 Type 1 HDGalv
Bolt Length(s)1 3/4" Nut SpecificationA563 gr DH
Washer SpecificationF436 HDG FinishHot Dip Galv.
Diameter/Size3/4" Bolt Mfg. Lot Number396988B
Rocap Test Requirement(s)yes Lubricant Requirements(s)yes
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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