Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-11-27-1
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Project Information
| Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
| Award Date | 11/16/2017 |
| Closeout Date | 12/08/2022 |
| Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
| Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
| Sample Taken Date | 11/27/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/28/2018 |
| Sample type | Department Acceptance | A brief description of the sample | A325 HDG bolts , F436 HDG washer |
| The quantity of what the sample constitutes | 3, 3, 8, and 9 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | CA METS QA Inspector | Telephone number of sampler | 801-669-2984 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | n/a |
| The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-232-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | n/a |
|---|---|---|---|
| Heat Number(s) | 10084830, 174930, 20339280, 10431710 | Nut Mfg. Lot Number(s) | n/a |
| Washer Mfg. Lot Number(s) | Prestige D5065 | Bolt Specification | A325 HDG |
| Bolt Length(s) | 3 1/2, 1 3/4, 2 1/2 | Nut Specification | n/a |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1 1/4" x 3 1/2"- 5/8" x 1 3/4"- 1/2" x 2 1/2" | Bolt Mfg. Lot Number | Unytite G3277, SLSB-BG0138, SLSB-G9459 |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) | none |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-11-27-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-27-1-10 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-11 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-12 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-13 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-14 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-15 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-16 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-17 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-18 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-19 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-27-1-20 ASTM E18-15 (Verified)
DIME Test ID: 2018-11-27-1-21 ASTM E18-15 (Verified)
DIME Test ID: 2018-11-27-1-22 ASTM E18-15 (Verified)
DIME Test ID: 2018-11-27-1-23 ASTM E18-15 (Verified)