Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2024-05-20-98
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994859 DEA: 021H5904 EFIS: 0216000025 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-43.5,57.0 |
| Award Date | 08/07/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE CULVERTS WITH BRIDGES, STREAMBED RESTORATION, & LANDSCAPING. |
| Location Description | SISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT 0.8 MILE WEST OF GORDON\\'S FERRY ROAD AND AT PORTUGUESE CREEK |
| QA Service Level | 1 (Verified on 08/10/2023) |
Sample Information
| Sample Taken Date | 05/20/2024 | Sample Unique Key | 98 |
|---|---|---|---|
| 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 | 05/29/2024 |
| Sample type | Verification | A brief description of the sample | Acrow part AB546 |
| The quantity of what the sample constitutes | 279 | From where was the sample collected | Other |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Dsouza |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 9493852715 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Acrow Bridge | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B277-019-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | ||
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM A325 | |
| Bolt Length(s) | Nut Specification | ASTM A563 | |
| Washer Specification | ASTM F436 | Finish | ASTM A325 HDG |
| Diameter/Size | ¾” x 2 7/8” | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||