Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2020-11-18-2

Project Information

Project IdentifiersProject ID: 214601
DEA: 041J5694
EFIS: 0419000313
DIST-CO-RTE-PM04-SM-101-0.0/21.8
Award Date12/03/2019
Closeout Date09/28/2022
Work DescriptionSan Mateo US 101 Express Lanes North
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date11/18/2020 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing11/18/2020 Sample typeQuality Assurance
A brief description of the sample1/2"x1-1/4" A325 HDG Bolts The quantity of what the sample constitutes14
From where was the sample collectedFabricator First name of sampler or witnessed byKen
Last name of sampler or witnessed byRiley Title of samplerQuality Assurance Inspector
Telephone number of sampler510-520-4147 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameStructural and Steel Products
Transportation Laboratory (TL) NumberTL-102 Inspector Lot Number from the Transportation Laboratory (TL) FormB389-012-20
Structure unique identifier Structure nameOHSS S63
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)368068AR
Heat Number(s)NF15103239 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationASTM A325
Bolt Length(s)1-1/4" Nut SpecificationN/A
Washer SpecificationN/A FinishMech Galv-B695
Diameter/Size1/2"x 1-1/4" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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