Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-10-28-6
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 | 10/28/2021 | Sample Unique Key | 6 |
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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 | 11/03/2021 |
Sample type | Quality Assurance | A brief description of the sample | ASTM A563 HHN MG, 1-inch diam |
The quantity of what the sample constitutes | 50 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Couch |
Title of sampler | METS Rep | 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 | Richmond San Rafael Bridge |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | L1414551 |
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Heat Number(s) | 201465 | Nut Mfg. Lot Number(s) | 33281-201465 |
Washer Mfg. Lot Number(s) | n/a | Bolt Specification | n/a |
Bolt Length(s) | Nut Specification | ASTM A563 | |
Washer Specification | n/a | Finish | Mech Galv |
Diameter/Size | 1 inch | 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: 2021-10-28-6-1 ASTM F606-14a (Verified)
DIME Test ID: 2021-10-28-6-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-10-28-6-3 ASTM B499-14 (Verified)