Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-07-24-1

Project Information

Project IdentifiersProject ID: 993911
DEA: 071XY804
EFIS: 0722000229
DIST-CO-RTE-PM07-LA/LA-47-RO 42/1.98
Award Date03/14/2022
Closeout Date04/24/2024
Work DescriptionFabricate and paint metal cable guards and install them onto the main cables of the Vincent Thomas Bridge
Location DescriptionNot set
QA Service Level1 (Verified on 07/22/2022)

Sample Information

Sample Taken Date07/24/2023 Sample Unique Key1
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 sampleHS Fastener Assembly
The quantity of what the sample constitutes26 From where was the sample collectedOther
First name of sampler or witnessed byBrian Last name of sampler or witnessed byMurray
Title of samplerQA Inspector Telephone number of sampler5624420352
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWecall Engineering Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL140-087-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)DEFN
Washer Mfg. Lot Number(s)1022-525 Bolt SpecificationASTM A354 Grade B/C
Bolt Length(s)13" Nut SpecificationASTM A563 HD
Washer SpecificationASTM F436 Type 1 FinishHDG
Diameter/Size1-1/2” Bolt Mfg. Lot Number20784
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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Sample File Attachments

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Test File Attachments