Sample Record

DIME Sample ID 2023-10-31-4

Project Information

Project IdentifiersProject ID: 995115
DEA: 050T7704
EFIS: 0500020046
Permit Numbers: 0523NOP0228
DIST-CO-RTE-PM05-SCR-152-1.98
Award DateNot set
Closeout DateNot set
Work DescriptionImprove intersection.
Location DescriptionON RTE 152 IN STA CRUZ CO AT HOLOHAN COLLEGE RD NEAR THE CITY OF WATSONVILLE
QA Service Level1 (Verified on 11/03/2023)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/31/2023 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample1-1/2 X 42" The quantity of what the sample constitutes1
From where was the sample collectedDistributor First name of sampler or witnessed byLorenzo
Last name of sampler or witnessed byGarcia Title of samplerQuality Assurance Inspector
Telephone number of sampler17029172503 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Circle Corp
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL115-116-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)3119886 Nut Mfg. Lot Number(s)DEHY12
Washer Mfg. Lot Number(s) Bolt SpecificationF1554-55
Bolt Length(s)42" Nut SpecificationA194
Washer SpecificationF436 FinishA153
Diameter/Size1-1/2 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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