Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-11-04-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993727 DEA: 112E1544 EFIS: 1119000022 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-34.9/35.8 |
| Award Date | 05/02/2022 |
| Closeout Date | Not set |
| Work Description | San Dieguito Lagoon Restoration |
| Location Description | San Dieguito Lagoon |
| QA Service Level | 1 (Verified on 04/06/2022) |
Sample Information
| Sample Taken Date | 11/04/2022 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 11/08/2022 |
| Sample type | Quality Assurance | A brief description of the sample | A325 Fastener Assembly |
| The quantity of what the sample constitutes | 3000 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Timber | Last name of sampler or witnessed by | Loveland |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 4355538344 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Contech Engineered Solutions | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L170- | Structure unique identifier | |
| Structure name | San Dieguito Lagoon |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 2 |
|---|---|---|---|
| Heat Number(s) | 10753830, 20752570, 64400 | Nut Mfg. Lot Number(s) | E240F1 |
| Washer Mfg. Lot Number(s) | E2972 | Bolt Specification | ASTM 325 |
| Bolt Length(s) | 2.25" | Nut Specification | ASTM 563 |
| Washer Specification | F 436 | Finish | ASTM A123 - HDG |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | BG2219 |
| 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. | |||