Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2017-12-20-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211931 DEA: 043G6414 EFIS: 0416000348 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-37.0 |
| Award Date | 03/17/2017 |
| Closeout Date | 04/22/2020 |
| Work Description | SCOUR REPLACE BRIDGE |
| Location Description | NAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE |
| QA Service Level | 1 (Verified on 02/15/2017) |
Sample Information
| Sample Taken Date | 12/20/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 12/22/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 7/8 x 31-3/8 A325 Bolts |
| The quantity of what the sample constitutes | 5 | From where was the sample collected | Source |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Shelton |
| Title of sampler | QA | Telephone number of sampler | 530-906-2714 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Portland Bolt Manufacturing | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S40-057-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 3065481 | Nut Mfg. Lot Number(s) | 23855-6214130704 |
| Washer Mfg. Lot Number(s) | 0717-584 | Bolt Specification | A325 |
| Bolt Length(s) | 31-3/8 | Nut Specification | A563 |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 7/8 x 31-38 | Bolt Mfg. Lot Number | 18558 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||