Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-06-14-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214922 DEA: 100X3104 EFIS: 1013000265 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-99-16.8/17.6 |
| Award Date | 06/30/2020 |
| Closeout Date | 04/07/2022 |
| Work Description | REPLACE BRIDGE. |
| Location Description | SAN JOAQUIN COUNTY IN STOCKTON FROM 0.4 MILE SOUTH TO 0.4 MILE NORTH OF FARMINGTON ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 04/28/2020) |
Sample Information
| Sample Taken Date | 06/14/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 06/14/2021 |
| Sample type | Quality Assurance | A brief description of the sample | F436 Flat washers |
| The quantity of what the sample constitutes | 4200 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 1-385-447-0624 |
| Laboratory sample identification | na | Linked DIME Sample ID | na |
| The fabricator/manufacturer/facility name | Universal Industrial Sales Inc | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-080-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | NA | Nut Mfg. Lot Number(s) | na |
| Washer Mfg. Lot Number(s) | 200263 | Bolt Specification | na |
| Bolt Length(s) | Nut Specification | na | |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
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. | |||