Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2018-09-17-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212726 DEA: 030F3514 EFIS: 0316000080 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51,99-VAR |
| Award Date | 02/08/2018 |
| Closeout Date | 12/08/2021 |
| Work Description | ROADWAY EXCAVATION, HOT MIX ASPHALT AND MODIFY ELECTRICAL SYSTEM; SOLDIER PILES; CONCRETE RETAINING WALL |
| Location Description | SACRAMENTO COUNTY FROM 0.5 MILE SOUTH OF COSUMNES RIVER BOULEVARD TO 0.2 MILE EAST OF ARDEN WAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/02/2018) |
Sample Information
| Sample Taken Date | 09/17/2018 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 09/19/2018 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Anchor Rods Nut Washers |
| The quantity of what the sample constitutes | 17 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Adame |
| Title of sampler | QA | Telephone number of sampler | 360-953-1155 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Portland Bolt | Transportation Laboratory (TL) Number | C874456 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S43-043-18 | 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) | PL16207513 | Nut Mfg. Lot Number(s) | 28769-622114705402 |
| Washer Mfg. Lot Number(s) | 350118208020 | Bolt Specification | F1554 |
| Bolt Length(s) | 10'' | Nut Specification | A563 |
| Washer Specification | A36/A529 | Finish | HDG |
| Diameter/Size | 3/4'' | Bolt Mfg. Lot Number | PL162075135 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||