Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-08-10-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-8.4 |
| Award Date | 11/30/2020 |
| Closeout Date | 12/12/2023 |
| Work Description | CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/06/2020) |
Sample Information
| Sample Taken Date | 08/10/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/11/2021 |
| Sample type | Quality Assurance | A brief description of the sample | anchor bolt assemblies |
| The quantity of what the sample constitutes | 170 assemblies | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Bolt | Transportation Laboratory (TL) Number | c835675 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-031-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 1201015428 | Nut Mfg. Lot Number(s) | 444961A |
| Washer Mfg. Lot Number(s) | none | Bolt Specification | A1554 gr 36 |
| Bolt Length(s) | 10" | Nut Specification | A563 |
| Washer Specification | none | Finish | Hot Dip Galv. |
| Diameter/Size | 1/2" | Bolt Mfg. Lot Number | 410101542840 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | yest green lube on nuts | |
| Washer Inner Diameter(s) |
Submitted Tests
Go to page:
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-08-10-2-1 ASTM F606-14a (Verified)
DIME Test ID: 2021-08-10-2-2 ASTM F606-14a (Verified)
DIME Test ID: 2021-08-10-2-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-08-10-2-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-08-10-2-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-08-10-2-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-08-10-2-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-08-10-2-8 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-10-2-9 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-10-2-10 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-10-2-11 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-10-2-12 ASTM B499-14 (Verified)
