Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-07-02-7

Project Information

Project IdentifiersProject ID: 210631
DEA: 040J2904
EFIS: 0413000429
DIST-CO-RTE-PM04-ALA-61-18.5
Award Date06/02/2017
Closeout Date02/22/2019
Work DescriptionSPOT BLAST CLEAN, PAINT STEEL ELEMENTS, AND PERFORM WORK IN BUILDING.
Location DescriptionALAMEDA COUNTY IN ALAMEDA AT SAN LEANDRO BAY BRIDGE AND AT SAN LEANDRO BAY BIKE BRIDGE
QA Service Level1 (Verified on 04/07/2017)

Sample Information

Sample Taken Date07/02/2018 Sample Unique Key7
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleHS ASTM A 325 Bolts
The quantity of what the sample constitutes77 From where was the sample collectedFabricator
First name of sampler or witnessed byTory Last name of sampler or witnessed byMcLaurin
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUlmer Industries Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL 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 SpecificationASTM A325
Bolt Length(s)2", 2.25", 2.5" Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishGalvanized
Diameter/Size3/4" Bolt Mfg. Lot NumberBG1201, BG1227, BG1161
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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