Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-08-23-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215788 DEA: 101C7904 EFIS: 1016000046 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-5-0.4 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | BUILDING WORK. |
| Location Description | MERCED COUNTY 0.4 MILE NORTH OF THE FRESNO COUNTY LINE AT THE JOHN "CHUCK" ERRECA SAFETY ROADSIDE REST AREA |
| QA Service Level | 1 (Verified on 06/03/2021) |
Sample Information
| Sample Taken Date | 08/23/2022 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A1554-36 Assembly |
| The quantity of what the sample constitutes | 288 assemblies | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 213 435 4055 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mike Owens Fabrication | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-151-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | 465441B | |
| Washer Mfg. Lot Number(s) | 0122-206 | Bolt Specification | ASTM F1554 - 36 |
| Bolt Length(s) | 17" | Nut Specification | ASTM A563-DH |
| Washer Specification | ASTM F436 | Finish | Black |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 1202037822961 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
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. | |||