Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-05-06-6
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213846 DEA: 041J5614 EFIS: 0419000117 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-0.0/6.7 |
| Award Date | 12/21/2018 |
| Closeout Date | 09/01/2022 |
| Work Description | Barrier modifications, overhead signs, freeway lighting and electronic toll system components |
| Location Description | SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND REDWOOD CITY FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO WHIPPLE AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 12/27/2018) |
Sample Information
| Sample Taken Date | 05/06/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 05/13/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Galvanized / Plain Fastener Assembly |
| The quantity of what the sample constitutes | 1 Assembly | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Loreno | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Industrial Sales | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-069-19 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3084906 | Nut Mfg. Lot Number(s) | Lot XC02 - HT MM17108958 HDG / Lot WWT2 - HT 188452 Plain |
| Washer Mfg. Lot Number(s) | Lot 118307 - HT C82082 | Bolt Specification | F1554-55 |
| Bolt Length(s) | 5' | Nut Specification | A563- Grade DH |
| Washer Specification | F436 | Finish | Galvanized / Plain |
| Diameter/Size | 3" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Blue Wax Dye | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-05-06-6-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-05-06-6-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-05-06-6-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-05-06-6-4 ASTM B499-14 (Verified)
DIME Test ID: 2019-05-06-6-5 ASTM B499-14 (Verified)
DIME Test ID: 2019-05-06-6-6 ASTM E18-15 (Verified)
DIME Test ID: 2019-05-06-6-7 ASTM B499-14 (Verified)
DIME Test ID: 2019-05-06-6-8 ASTM B499-14 (Verified)
DIME Test ID: 2019-05-06-6-9 ASTM E18-15 (Verified)
