Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2020-11-18-2

Project Information

Project IdentifiersProject ID: 214601
DEA: 041J5694
EFIS: 0419000313
Award Date12/03/2019
Closeout Date09/28/2022
Work DescriptionSan Mateo US 101 Express Lanes North
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date11/18/2020 Sample Unique Key2
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 testing11/18/2020
Sample typeQuality Assurance A brief description of the sample1/2"x1-1/4" A325 HDG Bolts
The quantity of what the sample constitutes14 From where was the sample collectedFabricator
First name of sampler or witnessed byKen Last name of sampler or witnessed byRiley
Title of samplerQuality Assurance Inspector Telephone number of sampler510-520-4147
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructural and Steel Products Transportation Laboratory (TL) NumberTL-102
Inspector Lot Number from the Transportation Laboratory (TL) FormB389-012-20 Structure unique identifier
Structure nameOHSS S63

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)368068AR
Heat Number(s)NF15103239 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationASTM A325
Bolt Length(s)1-1/4" Nut SpecificationN/A
Washer SpecificationN/A FinishMech Galv-B695
Diameter/Size1/2"x 1-1/4" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments