Sample Record

DIME Sample ID 2024-05-20-98

Project Information

Project IdentifiersProject ID: 994859
DEA: 021H5904
EFIS: 0216000025
DIST-CO-RTE-PM02-SIS-96-43.5,57.0
Award Date08/07/2023
Closeout DateNot set
Work DescriptionREPLACE CULVERTS WITH BRIDGES, STREAMBED RESTORATION, & LANDSCAPING.
Location DescriptionSISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT 0.8 MILE WEST OF GORDON\\\\'S FERRY ROAD AND AT PORTUGUESE CREEK
QA Service Level1 (Verified on 08/10/2023)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date05/20/2024 Sample Unique Key98
Date that the sample was received by the laboratory/organization performing the testing05/29/2024 Sample typeVerification
A brief description of the sampleAcrow part AB546 The quantity of what the sample constitutes279
From where was the sample collectedOther First name of sampler or witnessed byChris
Last name of sampler or witnessed byDsouza Title of samplerCT METS QA INSPECTOR
Telephone number of sampler9493852715 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAcrow Bridge
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB277-019-24
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 SpecificationASTM A325
Bolt Length(s) Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishASTM A325 HDG
Diameter/Size¾” x 2 7/8” 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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