Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-11-14-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213724 DEA: 040K8404 EFIS: 0416000148 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-680-13.9/22.7 |
| Award Date | 01/23/2019 |
| Closeout Date | 09/28/2021 |
| Work Description | INSTALL FREEWAY SAFETY LIGHTING |
| Location Description | CONTRA COSTA COUNTY AT VARIOUS LOCATIONS FROM OLYMPIC BOULEVARD TO ARTHUR ROAD |
| QA Service Level | 1 (Verified on 12/13/2018) |
Sample Information
| Sample Taken Date | 11/14/2019 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | Quality Assurance | A brief description of the sample | A325 Bolt Assemblies |
| The quantity of what the sample constitutes | 5ea, 12ea | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | ASI | Telephone number of sampler | (510) 385-5910 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Structural and Steel Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-056-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | ||
| Washer Mfg. Lot Number(s) | Bolt Specification | A325 | |
| Bolt Length(s) | Nut Specification | A563 | |
| Washer Specification | F436 | Finish | Mechanically Galvanized |
| Diameter/Size | 3/4" x 1-3/4" and 1" x 5" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Blue |
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. | |||