Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-01-16-12
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211967 DEA: 101E8904 EFIS: 1016000093 |
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DIST-CO-RTE-PM | 10-SJ-5-26.5/27.0 |
Award Date | 03/02/2017 |
Closeout Date | 01/24/2020 |
Work Description | REPAIR BRIDGE CROSSFRAMES. |
Location Description | SAN JOAQUIN COUNTY IN STOCKTON AT STOCKTON CHANNEL VIADUCT |
QA Service Level | 1 (Verified on 07/24/2017) |
Sample Information
Sample Taken Date | 01/16/2019 | Sample Unique Key | 12 |
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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 | 01/21/2019 |
Sample type | Quality Assurance | A brief description of the sample | A325 HDG Rocap Assembiy |
The quantity of what the sample constitutes | 8 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Churchill |
Title of sampler | QAI | Telephone number of sampler | 510-693-3545 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cordova Bolt | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L02-005-19 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 304-19-4 |
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Heat Number(s) | 100890078 | Nut Mfg. Lot Number(s) | 411793D |
Washer Mfg. Lot Number(s) | 0818-936 | Bolt Specification | A325 |
Bolt Length(s) | 7-1/2" | Nut Specification | A563 |
Washer Specification | F436 | Finish | HDG |
Diameter/Size | 1" | Bolt Mfg. Lot Number | 404913 |
Rocap Test Requirement(s) | yes | Lubricant Requirements(s) | Yes |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-01-16-12-1 ASTM F606-14a (Verified)
DIME Test ID: 2019-01-16-12-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-01-16-12-3 ASTM B499-14 (Verified)