Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2018-07-12-7

Project Information

Project IdentifiersProject ID: 210077
DEA: 043G9204
EFIS: 0414000507
COOP: 042565
DIST-CO-RTE-PM04-ALA-880-9.5/10.0
Award DateNot set
Closeout Date02/10/2021
Work DescriptionConversion of HOV Lanes to Express Lanes on I-880 ; Installation of the necessary Backhaul Communicaiton Network from Rte 237 to Hegenberger Road
Location DescriptionBetween Rte 237 and Lewelling Road and I-880 SB between Rte 237 and Hegenberger Road.
QA Service Level2 (Verified on 09/20/2017)

Sample Information

Sample Taken Date07/12/2018 Sample Unique Key7
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 testing07/12/2018
Sample typeVerification A brief description of the sampleOverhead Sign Bolting
The quantity of what the sample constitutes2219 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byGray
Title of samplerQA Inspector Telephone number of sampler5593134832
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameStructural and Steel Products Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormAVS102-050-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationA325
Bolt Length(s)Unknown Nut SpecificationA563
Washer SpecificationF436 Finish
Diameter/SizeUnknown Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

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