Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2021-05-12-7

Project Information

Project IdentifiersProject ID: 214590
DEA: 043G4744
EFIS: 0412000074
DIST-CO-RTE-PM04-MRN,MRN-580-6.9/7.8,0.0/2.5
Award Date01/14/2021
Closeout DateNot set
Work DescriptionCLEAN AND PAINT STRUCTURAL STEEL BRIDGE.
Location DescriptionCONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET
QA Service Level1 (Verified on 02/18/2020)

Sample Information

Sample Taken Date05/12/2021 Sample Unique Key7
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleWasher
The quantity of what the sample constitutes700 From where was the sample collectedDistributor
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpenter
Title of samplerQA Telephone number of sampler415-608-1742
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTechnical Stamping Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB24-029-21 Structure unique identifier
Structure nameSan Rafael Bridge

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)197564 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s)257096 Bolt SpecificationA325
Bolt Length(s) Nut Specification563
Washer SpecificationF-436-10 FinishHdg
Diameter/Size1.0" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.