Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2023-05-09-95

Project Information

Project IdentifiersProject ID: 214830
DEA: 043G6304
EFIS: 0412000409
DIST-CO-RTE-PM04-SCL-4-SCl-9 -4.75/4.9
Award Date11/08/2022
Closeout DateNot set
Work DescriptionSaratoga Creek Bridge Rehabilitation Project
Location DescriptionSan Jose - Saratoga Creek
QA Service Level1 (Verified on 11/09/2020)

Sample Information

Sample Taken Date05/09/2023 Sample Unique Key95
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 testing05/17/2023
Sample typeQuality Assurance A brief description of the sampleA325 HDG
The quantity of what the sample constitutes1 lot of 280 bolts From where was the sample collectedSupplier
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAcrow Bridge Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB373-709-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationNA
Bolt Length(s) Nut SpecificationNA
Washer SpecificationNA FinishHDG
Diameter/Size7/8(9) Bolt Mfg. Lot Number
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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