Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-08-04-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215421 DEA: 042K9504 EFIS: 0417000057 |
|---|---|
| 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 | 18 |
|---|---|---|---|
| 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 | Acceptance | A brief description of the sample | 3/4" F436 Washers |
| 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) | |
|---|---|---|---|
| Heat Number(s) | 223620 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | 223620 | Bolt Specification | NA |
| Bolt Length(s) | Nut Specification | na | |
| Washer Specification | F436 | Finish | Black |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||