Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-08-29-10
Project Information
Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
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DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
Award Date | 07/11/2022 |
Closeout Date | Not set |
Work Description | Dr. Fine Bridge Replacement |
Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
Sample Taken Date | 08/29/2023 | Sample Unique Key | 10 |
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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 testing | 08/30/2023 |
Sample type | Quality Assurance | A brief description of the sample | Heavy Pin |
The quantity of what the sample constitutes | 128 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
Title of sampler | ASI | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Acrow bridge | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Nut Mfg. Lot Number(s) | ||
Washer Mfg. Lot Number(s) | Bolt Specification | UNK | |
Bolt Length(s) | 8.5" | Nut Specification | N/A |
Washer Specification | N/A | Finish | HDG |
Diameter/Size | 2.25" | Bolt Mfg. Lot Number | |
Rocap Test Requirement(s) | Lubricant Requirements(s) | lubricated |
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. |