Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-11-13-16
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214399 DEA: 044Q3404 EFIS: 0419000383 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-580-1.3, 1.30 |
| Award Date | 05/23/2019 |
| Closeout Date | 03/16/2021 |
| Work Description | Near San Quentin, in the Richmond-San Rafael Bridge, heat straightening truss chords |
| Location Description | Near San Quentin, in the Richmond-San Rafael Bridge |
| QA Service Level | 1 (Verified on 09/06/2019) |
Sample Information
| Sample Taken Date | 11/13/2019 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 11/19/2019 |
| Sample type | Quality Assurance | A brief description of the sample | A325 HDGalv Fastener assemblies |
| The quantity of what the sample constitutes | 13 assemblies | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bay Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-113-19 | Structure unique identifier | |
| Structure name | unknown | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 6693-05 |
|---|---|---|---|
| Heat Number(s) | CR10570880-66 bolt 100793544 nut 163050 washer | Nut Mfg. Lot Number(s) | 410347D |
| Washer Mfg. Lot Number(s) | 414843 | Bolt Specification | ASTM F3125 A325 Type 1 HDGalv |
| Bolt Length(s) | 3" | Nut Specification | A563 gr DH |
| Washer Specification | F436 HDG | Finish | Hot Dip Galv. |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 816309 |
| Rocap Test Requirement(s) | yes | Lubricant Requirements(s) | yes |
| 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. | |||