Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-07-02-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210631 DEA: 040J2904 EFIS: 0413000429 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-61-18.5 |
| Award Date | 06/02/2017 |
| Closeout Date | 02/22/2019 |
| Work Description | SPOT BLAST CLEAN, PAINT STEEL ELEMENTS, AND PERFORM WORK IN BUILDING. |
| Location Description | ALAMEDA COUNTY IN ALAMEDA AT SAN LEANDRO BAY BRIDGE AND AT SAN LEANDRO BAY BIKE BRIDGE |
| QA Service Level | 1 (Verified on 04/07/2017) |
Sample Information
| Sample Taken Date | 07/02/2018 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | HS ASTM A 325 Bolts |
| The quantity of what the sample constitutes | 77 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Tory | Last name of sampler or witnessed by | McLaurin |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ulmer Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 100791539, 10543000, 10790391 | Nut Mfg. Lot Number(s) | 28153-188245 |
| Washer Mfg. Lot Number(s) | 308246 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 2", 2.25", 2.5" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | Galvanized |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | BG1201, BG1227, BG1161 |
| 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. | |||