Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-05-08-5
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213485 DEA: 032F9804 EFIS: 0312000026 |
|---|---|
| DIST-CO-RTE-PM | 03-COL-20-31.7/32.9 |
| Award Date | 10/15/2018 |
| Closeout Date | 05/11/2022 |
| Work Description | PAVEMENT REHABILITATION |
| Location Description | COLUSA COUNTY IN AND NEAR COLUSA FROM 0.1 MILE EAST OF THE MARKET STREET/STATE ROUTE 20 INTERSECTION TO 0.1 MILE SOUTH OF BUTTE VISTA DRIVE |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 05/08/2020 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 05/13/2020 |
| Sample type | Department Acceptance | A brief description of the sample | 2.25" x 4' 6" F1154 Gr 55 |
| The quantity of what the sample constitutes | 17 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Armondo | Last name of sampler or witnessed by | Contreras |
| Title of sampler | QA | Telephone number of sampler | 949-517-8520 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S60-001-20 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 1201012623 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | F1554 GR55 |
| Bolt Length(s) | 4' 6" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | Partial HDG |
| Diameter/Size | 2.25 | Bolt Mfg. Lot Number | 120101262320 |
| Rocap Test Requirement(s) | NO | Lubricant Requirements(s) | NO |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-08-5-1 ASTM A370-15 (Verified)
DIME Test ID: 2020-05-08-5-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-05-08-5-3 ASTM B499-14 (Verified)
DIME Test ID: 2020-05-08-5-4 ASTM A370-15 (Verified)
