Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-04-14-6
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Project Information
| Project Identifiers | Project ID: 1000973 DEA: 101T5604 EFIS: 1025000023 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-99- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Bridge Girder Repair |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 02/13/2025) |
Sample Information
| Sample Taken Date | 04/14/2025 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 04/17/2025 |
| Sample type | Quality Assurance | A brief description of the sample | A325 HDG Rocap Assembiy |
| The quantity of what the sample constitutes | 50 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
| Title of sampler | ASI | Telephone number of sampler | 916-798-7102 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt Manufacturing | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S51-413-2025 | Structure unique identifier | |
| Structure name | Acampo Road Bridge # 29-0146 | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 1 |
|---|---|---|---|
| Heat Number(s) | Bolt 10797330 Nut 58060962 04 Washer 12420300 | Nut Mfg. Lot Number(s) | 40512-5806096204 |
| Washer Mfg. Lot Number(s) | 0824-365 | Bolt Specification | ASTM F3125 GR A325 |
| Bolt Length(s) | 2-1/2" | Nut Specification | A563 DH |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | E727I1 |
| Rocap Test Requirement(s) | yes | Lubricant Requirements(s) | yes |
| Washer Inner Diameter(s) |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-04-14-6-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-04-14-6-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-04-14-6-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-04-14-6-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-04-14-6-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-04-14-6-6 ASTM E18-20 (Verified)
DIME Test ID: 2025-04-14-6-7 ASTM E18-20 (Verified)
DIME Test ID: 2025-04-14-6-8 ASTM F606-21 (Verified)