Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-10-31-5
Project Information
Project Identifiers | Project ID: 995115 DEA: 050T7704 EFIS: 0500020046 Permit Numbers: 0523NOP0228 |
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DIST-CO-RTE-PM | 05-SCR-152-1.98 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Improve intersection. |
Location Description | ON RTE 152 IN STA CRUZ CO AT HOLOHAN COLLEGE RD NEAR THE CITY OF WATSONVILLE |
QA Service Level | 1 (Verified on 11/03/2023) |
Sample Information
Sample Taken Date | 10/31/2023 | Sample Unique Key | 5 |
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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 | 12/18/2023 |
Sample type | Quality Assurance | A brief description of the sample | 2-1/4 X 42" |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 17029172503 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Blue Circle Corp | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-116-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
---|---|---|---|
Heat Number(s) | 1202047152 | Nut Mfg. Lot Number(s) | DEHT5 |
Washer Mfg. Lot Number(s) | Bolt Specification | F1554-55 | |
Bolt Length(s) | 42" | Nut Specification | A194 |
Washer Specification | F436 | Finish | A153 |
Diameter/Size | 2-1/4 | Bolt Mfg. Lot Number | |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |