Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2019-09-18-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212596 DEA: 100L0204 EFIS: 1013000053 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ,STA-99-0.0-0.7:24.4-24.8 |
| Award Date | 11/30/2018 |
| Closeout Date | 07/15/2021 |
| Work Description | Partial Bridge Replacement |
| Location Description | ON ROUTE 99 IN RIPON AT THE COUNTY LINE OF SAN JOAQUIN COUNTY AND STANISLAUS COUNTY AT THE STANISLAUS RIVER BRIDGES (29-0013L/R). |
| QA Service Level | 1 (Verified on 12/19/2018) |
Sample Information
| Sample Taken Date | 09/18/2019 | 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 | 09/18/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Rod Assembly |
| The quantity of what the sample constitutes | 56 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 916-826-6371 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brpwn | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S47-031-19 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 188896, 21817790, DL17100129 | Nut Mfg. Lot Number(s) | Nucor |
| Washer Mfg. Lot Number(s) | Technical Stamping Inc | Bolt Specification | ASTM F1554 Gr 105 |
| Bolt Length(s) | 25 inches | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 1-1/8 inch | Bolt Mfg. Lot Number | Alton Steel Inc |
| 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: 2019-09-18-2-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-09-18-2-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-09-18-2-3 ASTM F606-14a (Verified)
DIME Test ID: 2019-09-18-2-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-09-18-2-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-09-18-2-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-09-18-2-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-09-18-2-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-09-18-2-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-09-18-2-10 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-11 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-12 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-13 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-14 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-15 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-16 ASTM B499-14 (Verified)
DIME Test ID: 2019-09-18-2-17 ASTM E18-15 (Verified)
