Sample Record

DIME Sample ID 2018-09-17-8

Project Information

Project IdentifiersProject ID: 212726
DEA: 030F3514
EFIS: 0316000080
DIST-CO-RTE-PM03-SAC-51,99-VAR
Award Date02/08/2018
Closeout Date12/08/2021
Work DescriptionROADWAY EXCAVATION, HOT MIX ASPHALT AND MODIFY ELECTRICAL SYSTEM; SOLDIER PILES; CONCRETE RETAINING WALL
Location DescriptionSACRAMENTO COUNTY FROM 0.5 MILE SOUTH OF COSUMNES RIVER BOULEVARD TO 0.2 MILE EAST OF ARDEN WAY UNDERCROSSING
QA Service Level1 (Verified on 04/02/2018)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date09/17/2018 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing09/19/2018 Sample typeQuality Assurance
A brief description of the sampleF1554 Anchor Bolt Assembly The quantity of what the sample constitutes33
From where was the sample collectedSource First name of sampler or witnessed byJoe
Last name of sampler or witnessed byAdame Title of samplerQA
Telephone number of sampler360-953-1155 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility namePortland Bolt
Transportation Laboratory (TL) NumberC874455 Inspector Lot Number from the Transportation Laboratory (TL) FormS43-042-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)PL17100076 Nut Mfg. Lot Number(s)28588-S-6214658903
Washer Mfg. Lot Number(s)350118208020 Bolt SpecificationF1554
Bolt Length(s)10.5'' Nut SpecificationA563
Washer SpecificationA36/50 FinishHDG
Diameter/Size7/8'' Bolt Mfg. Lot NumberB1121026
Rocap Test Requirement(s)None 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
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