Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-11-07-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214015 DEA: 034H9504 EFIS: 0319000123 |
|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||