Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-02-15-13
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 02/15/2023 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 02/15/2023 |
| Sample type | Department Acceptance | A brief description of the sample | F1554 Anchor Rods Nuts Washers |
| The quantity of what the sample constitutes | 59 sets | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Doe |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 9168384405 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C&K Johnson Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S50-003-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | C203900 | Nut Mfg. Lot Number(s) | W000010328 |
| Washer Mfg. Lot Number(s) | 169941 | Bolt Specification | ASTM F1554 |
| Bolt Length(s) | 18" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | ASTM F2329 Hot Dip |
| Diameter/Size | 1-1/4" x 18" | Bolt Mfg. Lot Number | C203900 |
| 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: 2023-02-15-13-1 ASTM A370-20 (Verified)
DIME Test ID: 2023-02-15-13-2 ASTM A370-20 (Verified)
DIME Test ID: 2023-02-15-13-3 ASTM F606-21 (Verified)
DIME Test ID: 2023-02-15-13-4 ASTM F606-21 (Verified)
DIME Test ID: 2023-02-15-13-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-02-15-13-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-02-15-13-7 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-02-15-13-8 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-02-15-13-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-02-15-13-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-02-15-13-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-02-15-13-12 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-02-15-13-13 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-02-15-13-14 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-02-15-13-15 ASTM E18-20 (Verified)
DIME Test ID: 2023-02-15-13-16 ASTM E18-20 (Verified)
