Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-11-13-11
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 | 11/13/2019 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 11/19/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 5/8" x 2" A325 TC bolt assemblies- Mech Galv |
| The quantity of what the sample constitutes | 40 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
| 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 | B9-112-19 | Structure unique identifier | |
| Structure name | unknown |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 6189-02 |
|---|---|---|---|
| Heat Number(s) | 10568810 bolt 75072730- nut 9515105- washer | Nut Mfg. Lot Number(s) | 29243-75072730 Unytite |
| Washer Mfg. Lot Number(s) | D6157 Prestige | Bolt Specification | A325 Type 1 Tension control |
| Bolt Length(s) | 2" | Nut Specification | A563 DH |
| Washer Specification | F436 M/G | Finish | Mechanically Galvanized |
| Diameter/Size | 5/8" | Bolt Mfg. Lot Number | 29237-10568810 Unytite mfg |
| Rocap Test Requirement(s) | yes | Lubricant Requirements(s) | yes |
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. | |||