Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2017-11-20-1
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Project Information
| Project Identifiers | Project ID: 211669 DEA: 022C0904 EFIS: 0200000161 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-70-50.6/51.7 |
| Award Date | 11/16/2016 |
| Closeout Date | 11/12/2020 |
| Work Description | BRIDGE WIDENING AND DECK REPLACEMENT, HMA, MGS AND CULVERT REPLACEMENT |
| Location Description | PLUMAS COUNTY NEAR QUINCY FROM 0.6 MILE WEST TO 0.5 MILE EAST OF SPRING GARDEN BRIDGE OVERHEAD |
| QA Service Level | 1 (Verified on 10/25/2016) |
Sample Information
| Sample Taken Date | 11/20/2017 | 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 | 11/20/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 1 x 30 A449 All thread assembly |
| The quantity of what the sample constitutes | One lot | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Leavitt |
| Title of sampler | QA Inspector | Telephone number of sampler | 5105900116 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Portland Bolt Manufacturing | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S28-345-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | A164782 | Nut Mfg. Lot Number(s) | 26288-6214401705 |
| Washer Mfg. Lot Number(s) | Nucor/PBM | Bolt Specification | A449 |
| Bolt Length(s) | 30 | Nut Specification | A563 |
| Washer Specification | A36 | Finish | HDG |
| Diameter/Size | 1 | Bolt Mfg. Lot Number | Vulcan |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | Yes |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-11-20-1-1 ASTM F606-14 (Verified)
DIME Test ID: 2017-11-20-1-2 ASTM F606-14 (Verified)
DIME Test ID: 2017-11-20-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-10 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-11 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-11-20-1-12 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-13 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-14 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-15 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-16 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-17 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-18 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-19 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-20 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-21 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-22 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-23 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-24 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-25 ASTM B499-14 (Verified)
DIME Test ID: 2017-11-20-1-26 ASTM B499-14 (Verified)