Sample Record

DIME Sample ID 2018-03-19-4

Project Information

Project IdentifiersProject ID: 212795
DEA: 05937704
EFIS: 0514901244
Permit Numbers: 05176UB0132
DIST-CO-RTE-PM05-MON-68-4.04
Award Date09/06/2017
Closeout Date05/24/2019
Work DescriptionInstall a water pipeline bridge including a 36 inch diameter steel casing
Location DescriptionCounty of Monterey
QA Service Level1 (Verified on 09/25/2017)

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date03/19/2018 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing03/26/2018 Sample typeQuality Assurance
A brief description of the sampleAllthread anchor rod assembly The quantity of what the sample constitutesTwo Threaded Rod Assemblies
From where was the sample collectedFabricator First name of sampler or witnessed byJames
Last name of sampler or witnessed byDoe Title of samplerQA Inspector
Telephone number of sampler(503) 918-4918 Laboratory sample identificationUnknown
Linked DIME Sample IDTL-101# 836243 The fabricator/manufacturer/facility nameCoastal Fabrication
Transportation Laboratory (TL) NumberC836243 Inspector Lot Number from the Transportation Laboratory (TL) FormB358-024-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)62143718 8196752 Nut Mfg. Lot Number(s)32N9D
Washer Mfg. Lot Number(s) Bolt SpecificationA722
Bolt Length(s)5' Nut SpecificationA29
Washer Specificationn/a FinishHDG
Diameter/Size1-1/4" Bolt Mfg. Lot Number32N9D
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments