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Sample Record for 2019-07-11-1


Project Information

Project ID: 214102 DEA: 043Q9404 EFIS: 0419000285 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-580-
Work Description: Emergency joint replacement project
Location Description: Richmond San Rafael Bridge
Contractor Name: O.C Jones & Sons, INC Contractor Address: 1520 Fourth Street
Resident Engineer: Behzad Halali Structure Rep.: Quintana, David

Sample Information

DIME Sample ID: 2019-07-11-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/11/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 8 ea
A brief description of the sample: A325 TC Bolt Assemblies
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Rocap Number(s): 1864-01
Heat Number(s):
Nut Mfg. Lot Number(s): 29196-75072040
Washer Mfg. Lot Number(s): D4913
Bolt Specification: A325-TC
Bolt Length(s): 2"
Nut Specification: A563
Washer Specification: F436
Finish:
Diameter/Size: 7/8"-9
Bolt Mfg. Lot Number: 29472-100793828
Rocap Test Requirement(s):
Lubricant Requirements(s):