Sample Record
Owner Lab
- CT METS QASI - Los Angeles Design Build Field Laboratory
DIME Sample ID 2020-07-15-2
Project Information
Project Identifiers | Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 |
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DIST-CO-RTE-PM | 04-SM-101-0.0/21.8 |
Award Date | 12/03/2019 |
Closeout Date | 09/28/2022 |
Work Description | San Mateo US 101 Express Lanes North |
Location Description | Not set |
QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
Sample Taken Date | 07/15/2020 | Sample Unique Key | 2 |
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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 | 07/15/2020 |
Sample type | Quality Assurance | A brief description of the sample | 1/2"x 2-3/4" HH A325 Bolt |
The quantity of what the sample constitutes | 7 total 82 in total | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Kopenski |
Title of sampler | QA | Telephone number of sampler | (310) 745-9655 |
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 | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 060920AR |
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Heat Number(s) | 365604A | Nut Mfg. Lot Number(s) | 405806A |
Washer Mfg. Lot Number(s) | 317843 | Bolt Specification | ASTM A325 |
Bolt Length(s) | 2-3/4" | Nut Specification | ASTM A563 |
Washer Specification | ASTM F436 | Finish | Mech.Zinc Galv. ASTM B695 |
Diameter/Size | 1/2"x 2-3/4" | Bolt Mfg. Lot Number | 400458A |
Rocap Test Requirement(s) | 060920AR | Lubricant Requirements(s) |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |