Sample Record

DIME Sample ID 2019-11-13-11

Project Information

Project IdentifiersProject ID: 214015
DEA: 034H9504
EFIS: 0319000123
DIST-CO-RTE-PM03-SAC,SAC/YOL-12,160-0-0.4/26.3-26.4, Var, various
Award Date03/01/2019
Closeout Date05/23/2025
Work DescriptionNOTE THIS EA HAS BEEN CLOSED. A NEW EA HAS BEEN OPENED TO COMPLETE THE WORK SEE EA 03-1N0104 FOR CONTINUED WORK ACTIVITIES.
Location DescriptionIn Sacramento County at four bridges.
QA Service Level1 (Verified on 03/12/2019)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date11/13/2019 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing11/19/2019 Sample typeQuality Assurance
A brief description of the sample5/8" x 2" A325 TC bolt assemblies- Mech Galv The quantity of what the sample constitutes40
From where was the sample collectedDistributor First name of sampler or witnessed byGreg
Last name of sampler or witnessed byThompson Title of samplerAssociate Steel Inspector
Telephone number of sampler510-376-7155 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBay Bolt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB9-112-19
Structure unique identifier Structure nameunknown
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)6189-02
Heat Number(s)10568810 bolt 75072730- nut 9515105- washer Nut Mfg. Lot Number(s)29243-75072730 Unytite
Washer Mfg. Lot Number(s)D6157 Prestige Bolt SpecificationA325 Type 1 Tension control
Bolt Length(s)2" Nut SpecificationA563 DH
Washer SpecificationF436 M/G FinishMechanically Galvanized
Diameter/Size5/8" Bolt Mfg. Lot Number29237-10568810 Unytite mfg
Rocap Test Requirement(s)yes Lubricant Requirements(s)yes
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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