Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-10-31-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995115 DEA: 050T7704 EFIS: 0500020046 Permit Numbers: 0523NOP0228 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-152-1.98 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Improve intersection. |
| Location Description | ON RTE 152 IN STA CRUZ CO AT HOLOHAN COLLEGE RD NEAR THE CITY OF WATSONVILLE |
| QA Service Level | 1 (Verified on 11/03/2023) |
Sample Information
| Sample Taken Date | 10/31/2023 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | Quality Assurance | A brief description of the sample | 5/8 X 12" |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 17029172503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Circle Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-116-23 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3109864 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | F1554-55 | |
| Bolt Length(s) | 12" | Nut Specification | A194 |
| Washer Specification | F436 | Finish | A153 |
| Diameter/Size | .625 | 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. | |||