Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-06-21-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 211737 DEA: 042G9604 EFIS: 0412000010 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-9-4.6 |
| Award Date | 01/20/2017 |
| Closeout Date | 12/21/2017 |
| Work Description | CONSTRUCT ROADWAY AND RETAINING WALL |
| Location Description | SANTA CLARA COUNTY NEAR CITY OF SARATOGA 0.3 MILE SOUTH OF SANBORN ROAD |
| QA Service Level | 1 (Verified on 03/17/2017) |
Sample Information
| Sample Taken Date | 06/21/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 06/21/2017 |
| Sample type | Verification | A brief description of the sample | 5/8 x 12 A449 HDG all thread |
| The quantity of what the sample constitutes | 3 | 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 | CA 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 | B76-064-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | none |
|---|---|---|---|
| Heat Number(s) | Bolt HT DL15106136, Nut HT 75063411 | Nut Mfg. Lot Number(s) | 24056-75063411 |
| Washer Mfg. Lot Number(s) | n/a | Bolt Specification | A449 HDG |
| Bolt Length(s) | 12" | Nut Specification | A563-DH HDG |
| Washer Specification | none | Finish | HDG |
| Diameter/Size | 5/8 | Bolt Mfg. Lot Number | 29346 |
| Rocap Test Requirement(s) | none | 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: 2017-06-21-2-1 ASTM F606-14 (Verified)
DIME Test ID: 2017-06-21-2-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-21-2-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-21-2-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-21-2-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-21-2-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-21-2-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-21-2-8 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-21-2-9 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-21-2-10 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-21-2-11 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-21-2-12 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-21-2-13 ASTM B499-14 (Verified)
