Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-08-04-16
Project Information
Project Identifiers | Project ID: 215421 DEA: 042K9504 EFIS: 0417000057 |
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DIST-CO-RTE-PM | 04-ALA-580-14.4/14.4 |
Award Date | 02/02/2023 |
Closeout Date | Not set |
Work Description | CONSTRUCT MATERIAL TESTING LABORATORY BUILDING. |
Location Description | ALAMEDA COUNTY IN LIVERMORE AT 2201 KITTY HAWK ROAD |
QA Service Level | 1 (Verified on 01/06/2021) |
Sample Information
Sample Taken Date | 08/04/2023 | Sample Unique Key | 16 |
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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 | Not set |
Sample type | Department Acceptance | A brief description of the sample | 3/4" x 2.25" TC Bolt |
The quantity of what the sample constitutes | 280 | From where was the sample collected | Source |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
Title of sampler | qa | Telephone number of sampler | 916 517-0532 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | LB Construction | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-417-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 1000219817 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | Bolt Specification | F3125 GR F1852 | |
Bolt Length(s) | 2.25" | Nut Specification | NA |
Washer Specification | NA | Finish | Black |
Diameter/Size | 3/4" | Bolt Mfg. Lot Number | w000073239 |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |