Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2025-08-21-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001249 DEA: 031N5504 EFIS: 0325000797 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-70-35/36 |
| Award Date | 11/20/2024 |
| Closeout Date | Not set |
| Work Description | Major Damage Restoration |
| Location Description | BUT 70 Viaduct |
| QA Service Level | 1 (Verified on 05/06/2025) |
Sample Information
| Sample Taken Date | 08/21/2025 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 08/21/2025 |
| Sample type | Acceptance | A brief description of the sample | Allthread anchor rod assembly |
| The quantity of what the sample constitutes | 175 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Stephen | Last name of sampler or witnessed by | Haynes |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5105931179 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B408-027-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Bar 20948870 Nut 5806417404 Washer 208374 | Nut Mfg. Lot Number(s) | 41531-5806417404 |
| Washer Mfg. Lot Number(s) | 0320-418 | Bolt Specification | ASTM F1554 GR105 |
| Bolt Length(s) | 28.75" | Nut Specification | ASTM A194 |
| Washer Specification | ASTM F436 | Finish | ASTM F2329 |
| Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | 1.1875 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-08-21-6-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-08-21-6-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-08-21-6-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-08-21-6-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-21-6-12 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-21-6-13 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-21-6-14 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-21-6-15 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-21-6-16 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-21-6-17 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-21-6-18 ASTM A370-20 (Verified)