Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2025-03-04-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994525 DEA: 031H9904 EFIS: 0317000043 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-80-68.3/69.7,0.0/R2.7 |
| Award Date | 11/07/2023 |
| Closeout Date | Not set |
| Work Description | RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY. |
| Location Description | PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 03/04/2025 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 04/17/2025 |
| Sample type | Quality Assurance | A brief description of the sample | High Strength Fastener Assemblies |
| The quantity of what the sample constitutes | 11 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Dsouza |
| Title of sampler | Telephone number of sampler | 9493852715 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | St Louis Screw and Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B277-007-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | TT0187165 |
|---|---|---|---|
| Heat Number(s) | 20911300 20869540 226813 | Nut Mfg. Lot Number(s) | E799L1 |
| Washer Mfg. Lot Number(s) | E3779 | Bolt Specification | A325-1 |
| Bolt Length(s) | 4" | Nut Specification | A563 DH |
| Washer Specification | F436-1 | Finish | HDG |
| Diameter/Size | 1 1/8” | Bolt Mfg. Lot Number | BG2775 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| M0502-0642 Dime Number 2025-03-04-17 | 06/16/2025 | Info |
Test File Attachments
DIME Test ID: 2025-03-04-17-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-03-04-17-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-03-04-17-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-03-04-17-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-03-04-17-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-03-04-17-6 ASTM E18-20 (Verified)
DIME Test ID: 2025-03-04-17-7 ASTM E18-20 (Verified)
DIME Test ID: 2025-03-04-17-8 ASTM E18-20 (Verified)
DIME Test ID: 2025-03-04-17-9 ASTM F606-21 (Verified)