Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2024-12-03-1
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Project Information
| Project Identifiers | Project ID: 994525 DEA: 031H9904 EFIS: 0317000043 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-80-68.3/69.7,0.0/R2.7 |
| Award Date | 11/07/2023 |
| Closeout Date | Not set |
| Work Description | RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY. |
| Location Description | PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 12/03/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 01/13/2025 |
| Sample type | Control Sample | A brief description of the sample | 2" Anchor Bolt Assembly |
| The quantity of what the sample constitutes | 56 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | OSCAR | Last name of sampler or witnessed by | VIZCAINO |
| Title of sampler | Telephone number of sampler | 6787558969 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Madden Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 58063275, 20947330, 20947310 32420520 | Nut Mfg. Lot Number(s) | BVWR BVVW |
| Washer Mfg. Lot Number(s) | 0724-317 | Bolt Specification | ASTM F1554 Gr 55 |
| Bolt Length(s) | 5' | Nut Specification | ASTM A563 |
| Washer Specification | ASTM 572-50 | Finish | bare and partial galv HDG |
| Diameter/Size | 2" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
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Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-12-03-1-1 ASTM A370-20 (Verified)
DIME Test ID: 2024-12-03-1-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-12-03-1-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-12-03-1-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-12-03-1-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-12-03-1-6 ASTM E18-20 (Verified)
DIME Test ID: 2024-12-03-1-7 ASTM E18-20 (Verified)
DIME Test ID: 2024-12-03-1-8 ASTM E18-20 (Verified)
DIME Test ID: 2024-12-03-1-9 ASTM E18-20 (Verified)
DIME Test ID: 2024-12-03-1-10 ASTM E18-20 (Verified)
DIME Test ID: 2024-12-03-1-11 ASTM E18-20 (Verified)
DIME Test ID: 2024-12-03-1-12 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-12-03-1-13 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-12-03-1-14 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-12-03-1-15 ASTM B499-09r21 (Verified)