Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-12-11-22
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Project Information
| Project Identifiers | Project ID: 995495 DEA: 101C2704 EFIS: 1014000097 |
|---|---|
| DIST-CO-RTE-PM | 10-STA-5-27.1 |
| Award Date | 03/28/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE SAFETY ROADSIDE REST AREA. |
| Location Description | STATE HIGHWAY IN STANISLAUS COUNTY ABOUT 1.0 MILE SOUTH OF SAN JOAQUIN COUNTY LINE AT THE WESTLEY SAFETY ROADSIDE REST AREA |
| QA Service Level | 1 (Verified on 11/20/2023) |
Sample Information
| Sample Taken Date | 12/11/2024 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 12/17/2024 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A325 .625" X 2" HS Cap Screws |
| The quantity of what the sample constitutes | 7 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
| Title of sampler | ASI | Telephone number of sampler | 530-401-0199 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | KW Industries | 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) | N/A |
|---|---|---|---|
| Heat Number(s) | 1000117721 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | ASTM F3125, A325 |
| Bolt Length(s) | 2" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | HDG - Lubricated |
| Diameter/Size | .625" | Bolt Mfg. Lot Number | W000011176 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Required | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-12-11-22-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-12-11-22-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-12-11-22-3 ASTM E18-20 (Verified)