Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-07-11-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214102 DEA: 043Q9404 EFIS: 0419000285 |
|---|---|
| DIST-CO-RTE-PM | 04-CC,CC,MRN-580-6.1/7.8, 0/2.7 |
| Award Date | 03/18/2019 |
| Closeout Date | 09/16/2020 |
| Work Description | Emergency joint replacement project |
| Location Description | Richmond San Rafael Bridge |
| QA Service Level | 1 (Verified on 03/04/2019) |
Sample Information
| Sample Taken Date | 07/11/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | A325 TC Bolt Assemblies |
| The quantity of what the sample constitutes | 8 ea | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | QAI | Telephone number of sampler | (510) 385-5910 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bay Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-034-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 1864-01 |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | 29196-75072040 | |
| Washer Mfg. Lot Number(s) | D4913 | Bolt Specification | A325-TC |
| Bolt Length(s) | 2" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | |
| Diameter/Size | 7/8"-9 | Bolt Mfg. Lot Number | 29472-100793828 |
| 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. | |||