Sample Record
Owner Lab
- CT QASI - Bay Area Field Laboratory
DIME Sample ID 2019-11-07-3
Project Information
Project Identifiers | Project ID: 214015 DEA: 034H9504 EFIS: 0319000123 |
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DIST-CO-RTE-PM | 03-SAC,SAC/YOL-12,160-0-0.4/26.3-26.4, Var, various |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Repair and modernize electromechanical bridge. |
Location Description | In Sacramento County at four bridges. |
QA Service Level | 1 (Verified on 03/12/2019) |
Sample Information
Sample Taken Date | 11/07/2019 | Sample Unique Key | 3 |
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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 | Verification | A brief description of the sample | ASTM A325-TC bolts |
The quantity of what the sample constitutes | 3ea | 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 | ASI | Telephone number of sampler | |
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 | B373-055-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 6395-01, 6395-02, 6395-03 |
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Heat Number(s) | Nut Mfg. Lot Number(s) | ||
Washer Mfg. Lot Number(s) | Bolt Specification | F1852 | |
Bolt Length(s) | Nut Specification | A563 | |
Washer Specification | F436 | Finish | |
Diameter/Size | Bolt Mfg. Lot Number | ||
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 |
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No results found. |