Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2016-09-27-1

Project Information

Project IdentifiersProject ID: 210657
DEA: 101C0904
EFIS: 1014000133
DIST-CO-RTE-PM10-SJ-4,15,163-R16.6/R17.4
Award Date10/09/2015
Closeout Date04/11/2017
Work DescriptionREPAIR BRIDGE. YES, WE DO HAVE HOURS! OVER 300 AS OF JUNE
Location DescriptionSAN JOAQUIN COUNTY IN STOCKTON FROM CENTER STREET TO UNION STREET
QA Service Level1 (Verified on 09/23/2015)

Sample Information

Sample Taken Date09/27/2016 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 sampleDH Heavy Hex Nut
The quantity of what the sample constitutes2000 From where was the sample collectedFabricator
First name of sampler or witnessed byJames Last name of sampler or witnessed byDoe
Title of samplerCT METS QA INSPECTOR Telephone number of sampler510-918-4918
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCable Moore Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB358-100-16 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM3 - Nut Quantity Available for the Lot2000
Number of Samples Taken12 Heat Number(s)DL15105590
Mfg. Lot Number369067C Grade/TypeDH
Nut SpecificationASTM A563 Finish CoatingASTM F2329 - Hot Dip
Nut Diameter1 inch Dye Lubricant ColorGreen
ShapeHex Metal Manufacturer(s)Nucor
Nut ManufacturerNucor Coater

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