Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2018-07-18-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212870 DEA: 07291704 EFIS: 0712000095 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91-R11.4 |
| Award Date | 01/18/2018 |
| Closeout Date | 06/16/2021 |
| Work Description | INSTALL CONCRETE BARRIER TO REPLACE EXISTING MBGR AND BRIDGE RAILING |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AT ROUTE 91/710 SEPARATION |
| QA Service Level | 1 (Verified on 05/10/2018) |
Sample Information
| Sample Taken Date | 07/18/2018 | 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 | 07/18/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 7/8 threaded rod |
| The quantity of what the sample constitutes | 1 of 8 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Leavitt |
| Title of sampler | QA Inspector | Telephone number of sampler | 5105900116 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Universal Industrial Sales Platte | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S28-192-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 3052580 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | F1554 Gr36/55 |
| Bolt Length(s) | 11" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 7/8 | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
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. | |||