Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-06-14-4
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 | 4 |
|---|---|---|---|
| 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 | F436 HDG washer |
| 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) | 542102 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | D2022 | Bolt Specification | n/a |
| Bolt Length(s) | Unknown | Nut Specification | n/a |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 3/4" | 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: 2017-06-14-4-1 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-4-2 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-4-3 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-4-4 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-4-5 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-14-4-6 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-14-4-7 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-14-4-8 ASTM E18-15 (Verified)
