Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2018-07-12-7
Project Information
Project Identifiers | Project ID: 210077 DEA: 043G9204 EFIS: 0414000507 COOP: 042565 |
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DIST-CO-RTE-PM | 04-ALA-880-9.5/10.0 |
Award Date | Not set |
Closeout Date | 02/10/2021 |
Work Description | Conversion of HOV Lanes to Express Lanes on I-880 ; Installation of the necessary Backhaul Communicaiton Network from Rte 237 to Hegenberger Road |
Location Description | Between Rte 237 and Lewelling Road and I-880 SB between Rte 237 and Hegenberger Road. |
QA Service Level | 2 (Verified on 09/20/2017) |
Sample Information
Sample Taken Date | 07/12/2018 | Sample Unique Key | 7 |
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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 | 07/12/2018 |
Sample type | Verification | A brief description of the sample | Overhead Sign Bolting |
The quantity of what the sample constitutes | 2219 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Gray |
Title of sampler | QA Inspector | Telephone number of sampler | 5593134832 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Structural and Steel Products | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | AVS102-050-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Nut Mfg. Lot Number(s) | ||
Washer Mfg. Lot Number(s) | Bolt Specification | A325 | |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |