Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Laboratory

DIME Sample ID 2019-11-07-3

Project Information

Project IdentifiersProject ID: 214015
DEA: 034H9504
EFIS: 0319000123
DIST-CO-RTE-PM03-SAC,SAC/YOL-12,160-0-0.4/26.3-26.4, Var, various
Award DateNot set
Closeout DateNot set
Work DescriptionRepair and modernize electromechanical bridge.
Location DescriptionIn Sacramento County at four bridges.
QA Service Level1 (Verified on 03/12/2019)

Sample Information

Sample Taken Date11/07/2019 Sample Unique Key3
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 typeVerification A brief description of the sampleASTM A325-TC bolts
The quantity of what the sample constitutes3ea From where was the sample collectedDistributor
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of samplerASI Telephone number of sampler
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) FormB373-055-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL 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 SpecificationF1852
Bolt Length(s) Nut SpecificationA563
Washer SpecificationF436 Finish
Diameter/Size Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

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