Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-09-22-18
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215371 DEA: 042W1204 EFIS: 0421000139 |
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DIST-CO-RTE-PM | 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5 |
Award Date | 01/11/2020 |
Closeout Date | 09/06/2022 |
Work Description | REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS |
Location Description | Richmond San Rafael Bridge |
QA Service Level | 1 (Verified on 12/14/2020) |
Sample Information
Sample Taken Date | 09/22/2021 | Sample Unique Key | 18 |
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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 | 09/22/2021 |
Sample type | Quality Assurance | A brief description of the sample | A563 nuts |
The quantity of what the sample constitutes | 5857 nuts | From where was the sample collected | Other |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Couch |
Title of sampler | MR | Telephone number of sampler | 5304170632 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | LeJeune Bolt Company | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | RSRB |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Nut Mfg. Lot Number(s) | 30727-75075848 | |
Washer Mfg. Lot Number(s) | n/a | Bolt Specification | n/a |
Bolt Length(s) | n/a | Nut Specification | A563 |
Washer Specification | n/a | Finish | MG |
Diameter/Size | 1.125 | Bolt Mfg. Lot Number | n/a |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-09-22-18-1 ASTM F606-14a (Verified)
DIME Test ID: 2021-09-22-18-2 ASTM F606-14a (Verified)
DIME Test ID: 2021-09-22-18-3 ASTM F606-14a (Verified)
DIME Test ID: 2021-09-22-18-4 ASTM B499-14 (Verified)
DIME Test ID: 2021-09-22-18-5 ASTM B499-14 (Verified)
DIME Test ID: 2021-09-22-18-6 ASTM B499-14 (Verified)
DIME Test ID: 2021-09-22-18-7 ASTM B499-14 (Verified)
DIME Test ID: 2021-09-22-18-8 ASTM B499-14 (Verified)
DIME Test ID: 2021-09-22-18-9 ASTM B499-14 (Verified)
DIME Test ID: 2021-09-22-18-10 ASTM B499-14 (Verified)