Sample Record

DIME Sample ID 2019-11-13-19

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 Key19
Date that the sample was received by the laboratory/organization performing the testing11/19/2019 Sample typeQuality Assurance
A brief description of the sample3/4" F436 Hot Dip galv bevel washers The quantity of what the sample constitutes24
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)
Heat Number(s)A172357 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s)D4748 Bolt Specificationnone
Bolt Length(s)Unknown Nut Specificationnone
Washer SpecificationF436 HDG Bevel washer FinishHot Dip Galv.
Diameter/Size3/4" Bolt Mfg. Lot Number
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

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