Sample Record

DIME Sample ID 2019-11-14-9

Project Information

Project IdentifiersProject ID: 213724
DEA: 040K8404
EFIS: 0416000148
DIST-CO-RTE-PM04-CC-680-13.9/22.7
Award Date01/23/2019
Closeout Date09/28/2021
Work DescriptionINSTALL FREEWAY SAFETY LIGHTING
Location DescriptionCONTRA COSTA COUNTY AT VARIOUS LOCATIONS FROM OLYMPIC BOULEVARD TO ARTHUR ROAD
QA Service Level1 (Verified on 12/13/2018)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date11/14/2019 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleA325 Bolt Assemblies The quantity of what the sample constitutes5ea, 12ea
From where was the sample collectedFabricator First name of sampler or witnessed byRyan
Last name of sampler or witnessed byParr Title of samplerASI
Telephone number of sampler(510) 385-5910 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameStructural and Steel Products
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB373-056-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationA325
Bolt Length(s) Nut SpecificationA563
Washer SpecificationF436 FinishMechanically Galvanized
Diameter/Size3/4" x 1-3/4" and 1" x 5" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)Blue
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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