Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-03-09-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-0.0/21.8 |
| Award Date | 12/03/2019 |
| Closeout Date | 09/28/2022 |
| Work Description | San Mateo US 101 Express Lanes North |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 03/09/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Quality Assurance |
| A brief description of the sample | Bolt Assy | The quantity of what the sample constitutes | 1 lot of 19 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | David |
| Last name of sampler or witnessed by | Gray | Title of sampler | QAI |
| Telephone number of sampler | 5593134832 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Structural and Steel Products | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | S32-002-21 | |
| Structure unique identifier | Structure name | OHSS | |
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 432430AR |
|---|---|---|---|
| Heat Number(s) | 10010716 | Nut Mfg. Lot Number(s) | 435651A |
| Washer Mfg. Lot Number(s) | 317600 | Bolt Specification | ASTM F3125, A325 |
| Bolt Length(s) | 2-1/4" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM A436 | Finish | ASTM B569 |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 432430A |
| 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. | |||