Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-03-18-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215371 DEA: 042W1204 EFIS: 0421000139 |
|---|---|
| DIST-CO-RTE-PM | 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5 |
| Award Date | 01/11/2020 |
| Closeout Date | 09/06/2022 |
| Work Description | REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS |
| Location Description | Richmond San Rafael Bridge |
| QA Service Level | 1 (Verified on 12/14/2020) |
Sample Information
| Sample Taken Date | 03/18/2022 | Sample Unique Key | 3 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | 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 | All-Thread Rod |
| The quantity of what the sample constitutes | 24 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 213 435 4055 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Liberty Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-040-22 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | n/a |
|---|---|---|---|
| Heat Number(s) | 11722380 | Nut Mfg. Lot Number(s) | n/a |
| Washer Mfg. Lot Number(s) | n/a | Bolt Specification | ASTM A354-BD |
| Bolt Length(s) | 71" | Nut Specification | n/a |
| Washer Specification | n/a | Finish | Hot Dipped Galvanized |
| Diameter/Size | 1 1/8" | Bolt Mfg. Lot Number | n/a |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| 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. | |||