Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-02-21-1
Project Information
| Project Identifiers | Project ID: 994673 DEA: 033F0704 EFIS: 0312000054 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51-2.0/3.5 |
| Award Date | 08/17/2023 |
| Closeout Date | Not set |
| Work Description | American River Bridge Rehabilitation |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 02/21/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 03/17/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Heavy Hex Nuts/F436 Washers |
| The quantity of what the sample constitutes | 20 nuts/30 washers | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | EDWARD | Last name of sampler or witnessed by | LEACH |
| Title of sampler | Telephone number of sampler | 7072903887 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Rupert Construction Supply | 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) | 234978 Hex nuts 247693 washers | Nut Mfg. Lot Number(s) | 40163-234978000000000000 |
| Washer Mfg. Lot Number(s) | E6018 | Bolt Specification | n/a |
| Bolt Length(s) | Nut Specification | A563 | |
| Washer Specification | F436 | Finish | Galvanized/Blue Dye |
| Diameter/Size | 1-1/2" | 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: 2025-02-21-1-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-02-21-1-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-02-21-1-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-21-1-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-21-1-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-21-1-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-21-1-7 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-21-1-8 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-21-1-9 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-21-1-10 ASTM E18-20 (Verified)
