Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-06-14-3
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 211669 DEA: 022C0904 EFIS: 0200000161 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-70-50.6/51.7 |
| Award Date | 11/16/2016 |
| Closeout Date | 11/12/2020 |
| Work Description | BRIDGE WIDENING AND DECK REPLACEMENT, HMA, MGS AND CULVERT REPLACEMENT |
| Location Description | PLUMAS COUNTY NEAR QUINCY FROM 0.6 MILE WEST TO 0.5 MILE EAST OF SPRING GARDEN BRIDGE OVERHEAD |
| QA Service Level | 1 (Verified on 10/25/2016) |
Sample Information
| Sample Taken Date | 06/14/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 06/20/2017 |
| Sample type | Verification | A brief description of the sample | 3/4 A563-DH nut |
| The quantity of what the sample constitutes | 12 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | (801) 669-2984 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-062-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | n/a |
|---|---|---|---|
| Heat Number(s) | 20388020 | Nut Mfg. Lot Number(s) | 15-40-006 |
| Washer Mfg. Lot Number(s) | n/a | Bolt Specification | n/a |
| Bolt Length(s) | n/a | Nut Specification | A563-DH |
| Washer Specification | n/a | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | n/a |
| 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: 2017-06-14-3-1 ASTM F606-14a (Verified)
DIME Test ID: 2017-06-14-3-2 ASTM F606-14a (Verified)
DIME Test ID: 2017-06-14-3-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-14-3-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-14-3-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-14-3-6 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-3-7 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-3-8 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-3-9 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-3-10 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-3-11 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-14-3-12 ASME B1.2-83r01 (Verified)
