Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2019-08-26-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213570 DEA: 033F5504 EFIS: 0313000137 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL,SAC-275-13.0,0.0 |
| Award Date | 12/07/2018 |
| Closeout Date | 06/21/2022 |
| Work Description | REPLACE TIMBER FENDER SYSTEM SURROUNDING PIERS 6 AND 7 |
| Location Description | YOLO AND SACRAMENTO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO AT SACRAMENTO RIVER BRIDGE. |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 08/26/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/26/2019 |
| Sample type | Department Acceptance | A brief description of the sample | A325 HDG BOLT ASSEMBLY |
| The quantity of what the sample constitutes | 4,000 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
| Title of sampler | Telephone number of sampler | 646-740-3704 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Golden State Bridge | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-791-19 | Structure unique identifier | |
| Structure name | Tower Bridge |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | Not Required |
|---|---|---|---|
| Heat Number(s) | 100889992, 100892134, 752109 | Nut Mfg. Lot Number(s) | 2734775068952 |
| Washer Mfg. Lot Number(s) | 303371 | Bolt Specification | A325 |
| Bolt Length(s) | 3.75" | Nut Specification | ASTM A563 |
| Washer Specification | ASME B18.21.1 | Finish | HDG |
| Diameter/Size | 5/8" | Bolt Mfg. Lot Number | 404635A, 414509A, 752109 |
| Rocap Test Requirement(s) | Not Required | Lubricant Requirements(s) | Lubricated Blue Dye |
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. | |||