Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-01-31-2
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Project Information
| Project Identifiers | Project ID: 212687 DEA: 06442544 EFIS: 0612000175 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-46,5-31.5-33.2 |
| Award Date | 01/11/2018 |
| Closeout Date | 11/19/2021 |
| Work Description | CONVERT 2-LANE TO 4-LANE CONVENTIONAL HIGHWAY. |
| Location Description | KERN COUNTY NEAR LOST HILLS FROM 1.0 MILE EAST OF LOST HILLS ROAD TO 0.7 MILE EAST OF ROUTE 46/5 SEPARATION |
| QA Service Level | 1 (Verified on 03/12/2018) |
Sample Information
| Sample Taken Date | 01/31/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 02/01/2019 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Anchor Rod, Nut, Washer |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Rick | Last name of sampler or witnessed by | Bettencourt |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Platte Anchor Bolt | Transportation Laboratory (TL) Number | C877490 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S25-005-19 | 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) | 3051299 | Nut Mfg. Lot Number(s) | 21979-6213174808 |
| Washer Mfg. Lot Number(s) | 292683 | Bolt Specification | F1554 |
| Bolt Length(s) | 24", 26" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1.125 | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-01-31-2-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-01-31-2-2 ASTM A370-15 (Verified)