Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-11-18-8
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 | 11/18/2020 | Sample Unique Key | 8 |
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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 | 11/18/2020 |
Sample type | Quality Assurance | A brief description of the sample | A325 Bolt Assembly |
The quantity of what the sample constitutes | 39 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Riley |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 510-520-4147 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Structural and Steel Products | Transportation Laboratory (TL) Number | TL-102 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B389-012-20 | Structure unique identifier | |
Structure name | OHSS S63 |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | M4400R |
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Heat Number(s) | NF15201353, 75070238, 273919 | Nut Mfg. Lot Number(s) | 27724-75070238 |
Washer Mfg. Lot Number(s) | D4382 | Bolt Specification | ASTM A325 |
Bolt Length(s) | 4-1/4" | Nut Specification | A563 |
Washer Specification | F436 | Finish | Mech Galv-B695 |
Diameter/Size | 1-1/2"x4-1/4" | Bolt Mfg. Lot Number | 21060-NF15201353 |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |