Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2023-07-05-7

Project Information

Project IdentifiersProject ID: 215421
DEA: 042K9504
EFIS: 0417000057
DIST-CO-RTE-PM04-ALA-580-14.4/14.4
Award Date02/02/2023
Closeout DateNot set
Work DescriptionCONSTRUCT MATERIAL TESTING LABORATORY BUILDING.
Location DescriptionALAMEDA COUNTY IN LIVERMORE AT 2201 KITTY HAWK ROAD
QA Service Level1 (Verified on 01/06/2021)

Sample Information

Sample Taken Date07/05/2023 Sample Unique Key7
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 testingNot set
Sample typeQuality Assurance A brief description of the sample7/8” x 19” astm F1554 Rg 36 uncoated
The quantity of what the sample constitutes100 pieces From where was the sample collectedFabricator
First name of sampler or witnessed byNikhil Last name of sampler or witnessed byMoon
Title of samplerAMR Telephone number of sampler682-256-3796
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWalsh Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB401 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)Na
Heat Number(s) Nut Mfg. Lot Number(s)Na
Washer Mfg. Lot Number(s)Na Bolt SpecificationAstm f1554 Gr36
Bolt Length(s)19” Nut SpecificationNa
Washer SpecificationNa FinishUncoated
Diameter/Size7/8” Bolt Mfg. Lot Number
Rocap Test Requirement(s)Na Lubricant Requirements(s)No

Submitted Tests

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

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Test File Attachments