Sample Record

DIME Sample ID 2023-10-07-2

Project Information

Project IdentifiersProject ID: 215620
DEA: 01436404
EFIS: 0100000193
DIST-CO-RTE-PM01-DN-101-35.8/36.5
Award Date07/11/2022
Closeout DateNot set
Work DescriptionDr. Fine Bridge Replacement
Location DescriptionDR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
QA Service Level1 (Verified on 03/26/2021)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date10/07/2023 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing10/09/2023 Sample typeVerification
A brief description of the sampleHeavy Pin The quantity of what the sample constitutes128
From where was the sample collectedJob Site First name of sampler or witnessed byPaul
Last name of sampler or witnessed byFarinha Title of samplerASI
Telephone number of sampler9167987102 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAcrow
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt Specificationn/a
Bolt Length(s) Nut Specificationn/a
Washer Specificationn/a Finish
Diameter/Size 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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