Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-08-17-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212956 DEA: 080R3404 EFIS: 0812000072 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-38-30.9 |
| Award Date | 03/06/2018 |
| Closeout Date | 09/30/2019 |
| Work Description | BRIDGE REHABILITATION AND UPGRADE BRIDGE RAILING TO STANDARDS |
| Location Description | SAN BERNARDINO COUNTY NEAR ANGELUS OAKS AT SANTA ANA RIVER BRIDGERAM |
| QA Service Level | 1 (Verified on 05/09/2018) |
Sample Information
| Sample Taken Date | 08/17/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/17/2018 |
| Sample type | Quality Assurance | A brief description of the sample | A325 HDG Rocap Assembiy |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CFabrication | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-157-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3072436 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | A325 | |
| Bolt Length(s) | 4-5/16" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Galvanized |
| Diameter/Size | 3/4 | Bolt Mfg. Lot Number | 51790-2 |
| 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. | |||