Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2023-04-10-53

Project Information

Project IdentifiersProject ID: 214590
DEA: 043G4744
EFIS: 0412000074
DIST-CO-RTE-PM04-MRN,MRN-580-6.9/7.8,0.0/2.5
Award Date01/14/2021
Closeout DateNot set
Work DescriptionCLEAN AND PAINT STRUCTURAL STEEL BRIDGE.
Location DescriptionCONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET
QA Service Level1 (Verified on 02/18/2020)

Sample Information

Sample Taken Date04/10/2023 Sample Unique Key53
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 testing04/10/2023
Sample typeQuality Assurance A brief description of the sampleASTM A325 7/8x2-3/4
The quantity of what the sample constitutes26 From where was the sample collectedSource
First name of sampler or witnessed byJason Last name of sampler or witnessed byGramlick
Title of samplerAssociate Steel Inspector Telephone number of sampler5104537830
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay Bolt, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)5019-01
Heat Number(s)100897401 Nut Mfg. Lot Number(s)472199B
Washer Mfg. Lot Number(s)167117 Bolt SpecificationASTM A325
Bolt Length(s)2-3/4 Nut SpecificationASTM A563
Washer SpecificationASTM436 FinishGalv
Diameter/Size7/8 Bolt Mfg. Lot Number424788A
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments