Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-11-18-14
Project Information
| Project Identifiers | Project ID: 214590 DEA: 043G4744 EFIS: 0412000074 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MRN-580-6.9/7.8,0.0/2.5 |
| Award Date | 01/14/2021 |
| Closeout Date | 08/19/2024 |
| Work Description | CLEAN AND PAINT STRUCTURAL STEEL BRIDGE. |
| Location Description | CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET |
| QA Service Level | 1 (Verified on 02/18/2020) |
Sample Information
| Sample Taken Date | 11/18/2022 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 11/18/2022 |
| Sample type | Quality Assurance | A brief description of the sample | A325 HDGalv Fastener assemblies |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Sommer |
| Title of sampler | SR | Telephone number of sampler | 19253304874 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bay Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 28-0100 | |
| Structure name | Richmond San Rafael Bridge | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 0878-01 |
|---|---|---|---|
| Heat Number(s) | Bolt 10794690, Nut 8000016560, Washer 32028550 | Nut Mfg. Lot Number(s) | 471547c |
| Washer Mfg. Lot Number(s) | 166415 | Bolt Specification | A325 |
| Bolt Length(s) | 2.5 | Nut Specification | A563 |
| Washer Specification | A436 | Finish | HDG |
| Diameter/Size | 3/4-10 | Bolt Mfg. Lot Number | e26712 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-18-14-1 ASTM F606-21 (Verified)
DIME Test ID: 2022-11-18-14-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-11-18-14-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-11-18-14-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-11-18-14-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-11-18-14-6 ASTM E18-20 (Verified)
DIME Test ID: 2022-11-18-14-7 ASTM E18-20 (Verified)
