Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2018-07-03-5
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Project Information
| Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
| Award Date | 03/12/2018 |
| Closeout Date | 10/05/2020 |
| Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
| Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
| QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
| Sample Taken Date | 07/03/2018 | 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 | 07/03/2018 |
| Sample type | Quality Assurance | A brief description of the sample | A325 Assembly |
| The quantity of what the sample constitutes | xxx | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tory | Last name of sampler or witnessed by | McLaurin |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 6616185971 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Ulmer Industries | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L67-056-18 | Structure unique identifier | Not set |
| Structure name | 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 | F3125 | |
| Bolt Length(s) | Unknown | Nut Specification | A563 |
| Washer Specification | F436 | Finish | |
| Diameter/Size | Unknown | Bolt Mfg. Lot Number | |
| 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. | |||