Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2019-07-11-1

Project Information

Project IdentifiersProject ID: 214102
DEA: 043Q9404
EFIS: 0419000285
DIST-CO-RTE-PM04-CC,CC,MRN-580-6.1/7.8, 0/2.7
Award Date03/18/2019
Closeout Date09/16/2020
Work DescriptionEmergency joint replacement project
Location DescriptionRichmond San Rafael Bridge
QA Service Level1 (Verified on 03/04/2019)

Sample Information

Sample Taken Date07/11/2019 Sample Unique Key1
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleA325 TC Bolt Assemblies
The quantity of what the sample constitutes8 ea From where was the sample collectedDistributor
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of samplerQAI Telephone number of sampler(510) 385-5910
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB373-034-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL 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 SpecificationA325-TC
Bolt Length(s)2" Nut SpecificationA563
Washer SpecificationF436 Finish
Diameter/Size7/8"-9 Bolt Mfg. Lot Number29472-100793828
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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