Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2019-11-13-12

Project Information

Project IdentifiersProject ID: 214399
DEA: 044Q3404
EFIS: 0419000383
DIST-CO-RTE-PM04-MRN-580-1.3, 1.30
Award Date05/23/2019
Closeout Date03/16/2021
Work DescriptionNear San Quentin, in the Richmond-San Rafael Bridge, heat straightening truss chords
Location DescriptionNear San Quentin, in the Richmond-San Rafael Bridge
QA Service Level1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date11/13/2019 Sample Unique Key12
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 testing11/19/2019
Sample typeQuality Assurance A brief description of the sampleA325 HDGalv Fastener assemblies
The quantity of what the sample constitutes55 assemblies From where was the sample collectedDistributor
First name of sampler or witnessed byGreg Last name of sampler or witnessed byThompson
Title of samplerAssociate Steel Inspector Telephone number of sampler510-376-7155
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) FormB9-113-19 Structure unique identifier
Structure nameunknown

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)6693-01
Heat Number(s)DL17103751 Nut Mfg. Lot Number(s)413071C
Washer Mfg. Lot Number(s)0818-925 Bolt SpecificationASTM F3125 A325 Type 1 HDGalv
Bolt Length(s)1 3/4" Nut SpecificationA563 gr DH
Washer SpecificationF436 HDG FinishHot Dip Galv.
Diameter/Size3/4" Bolt Mfg. Lot Number396988B
Rocap Test Requirement(s)yes Lubricant Requirements(s)yes

Submitted Tests

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