Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2017-12-14-30
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212205 DEA: 044K7104 EFIS: 0417000340 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-35-9.5, 9.50 |
| Award Date | 03/28/2017 |
| Closeout Date | 02/22/2019 |
| Work Description | construct tie-back wall |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/22/2017) |
Sample Information
| Sample Taken Date | 12/14/2017 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 12/14/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2 x 4 bolt |
| The quantity of what the sample constitutes | 3 from lot of 18 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Leavitt |
| Title of sampler | QA Inspector | Telephone number of sampler | 510 590-0116 |
| 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 | S28-380-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | nf15203956 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | A325 | |
| Bolt Length(s) | 4 | Nut Specification | N/a |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 1/2 | Bolt Mfg. Lot Number | St Louis Screw |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-12-14-30-1 ASTM F606-14a (Verified)
DIME Test ID: 2017-12-14-30-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-30-3 ASTM B499-14 (Verified)
