Sample Record

DIME Sample ID 2019-06-13-6

Project Information

Project IdentifiersProject ID: 211775
DEA: 024E6504
EFIS: 0212000012
DIST-CO-RTE-PM02-SIS-96-R52.5/88.4
Award Date07/10/2017
Closeout Date01/05/2021
Work DescriptionWIDEN BRIDGES,POLYESTER CONC OVERLAY,COLD PLANE AC PVMT,HMA,GUARDRAIL
Location DescriptionSISKIYOU COUNTY NEAR SEIAD VALLEY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF THOMPSON CREEK BRIDGE TO 0.2 MILE EAST OF BEAVER CREEK BRIDGE
QA Service Level1 (Verified on 08/23/2017)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date06/13/2019 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing06/18/2019 Sample typeQuality Assurance
A brief description of the sampleA325 Bolt The quantity of what the sample constitutes494
From where was the sample collectedFabricator First name of sampler or witnessed byMahlon
Last name of sampler or witnessed byLindenmuth Title of samplerQA Inspector
Telephone number of sampler646-740-3704 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameNucor
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS46-170-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)415844A 396618A 805830 392621A
Heat Number(s) Nut Mfg. Lot Number(s)415206A
Washer Mfg. Lot Number(s)309017 Bolt SpecificationA325
Bolt Length(s)2-1/4", 2-3/4", 3", 3-1/4" Nut SpecificationA563 Gr. DH
Washer SpecificationF436 FinishHot Dipped Galvanized
Diameter/Size7/8" Bolt Mfg. Lot Number415844A 396618A 805830 392621A
Rocap Test Requirement(s) 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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