Sample Record
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- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2024-11-21-41
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Project Information
| Project Identifiers | Project ID: 994309 DEA: 033H5404 EFIS: 0318000012 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-70-46.0/47.0 |
| Award Date | 02/10/2023 |
| Closeout Date | Not set |
| Work Description | RAISE ALIGNMENT, PLACE HMA, STRUCTURAL CONCRETE & BRIDGE RAIL. |
| Location Description | BUTTE COUNTY NEAR PARADISE FROM 0.8 MILE WEST OF SHADY REST AREA TO 0.2 MILE EAST OF SHADY REST AREA |
| QA Service Level | 1 (Verified on 10/04/2022) |
Sample Information
| Sample Taken Date | 11/21/2024 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 11/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A563 Coupler Nut |
| The quantity of what the sample constitutes | 50 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Adam | Last name of sampler or witnessed by | Scardacci |
| Title of sampler | Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt Manufacturing | 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) | 20897990 | Nut Mfg. Lot Number(s) | 7559 7114 |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 Gr. 105 | |
| Bolt Length(s) | 144" | Nut Specification | ASTM A563 |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-21-41-1 ASTM A370-20 (Verified)