Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2016-09-27-4
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Project Information
| Project Identifiers | Project ID: 210657 DEA: 101C0904 EFIS: 1014000133 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4,15,163-R16.6/R17.4 |
| Award Date | 10/09/2015 |
| Closeout Date | 04/11/2017 |
| Work Description | REPAIR BRIDGE. YES, WE DO HAVE HOURS! OVER 300 AS OF JUNE |
| Location Description | SAN JOAQUIN COUNTY IN STOCKTON FROM CENTER STREET TO UNION STREET |
| QA Service Level | 1 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 09/27/2016 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | Yellow Spring washers |
| The quantity of what the sample constitutes | 500 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Doe |
| Title of sampler | QA Inspector | Telephone number of sampler | 5109184918 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cable Moore | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-103-16 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Washer | Quantity Available for the Lot | 500 |
|---|---|---|---|
| Number of Samples Taken | 2 | Heat Number(s) | 2124645 |
| Mfg. Lot Number | 2124645 | Grade/Type | ASTM A684 |
| Washer Specification | ASTM F436 | Finish Coating | Plain |
| Washer Inner Diameter(s) | 125 | Metal Manufacturer(s) | |
| Washer Manufacturer | Associated Spring | Coater | |
| Epoxy Coating Standards | Uncoated |
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. | |||