Sample Record

DIME Sample ID 2021-07-06-20

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout Date12/02/2025
Work DescriptionPanther Creek & Hunter Creek Bridges
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date07/06/2021 Sample Unique Key20
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the sampleWashers The quantity of what the sample constitutes716
From where was the sample collectedDistributor First name of sampler or witnessed byChuck
Last name of sampler or witnessed byFranco Title of samplerQA
Telephone number of sampler(858) 583-9270 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCascade Bolt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB75-015-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1234 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s)156889 Bolt SpecificationA325
Bolt Length(s) Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishPlain
Diameter/Size7/8" 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

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

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Test File Attachments