Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-07-14-6
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Project Information
| Project Identifiers | Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-36-6.0/14.6 |
| Award Date | 05/08/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK. |
| Location Description | LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 07/14/2020 | 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 | 07/15/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/2" x 26" Anchor Bolt |
| The quantity of what the sample constitutes | 33 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Dong | Last name of sampler or witnessed by | Shin |
| Title of sampler | QA Inspector | Telephone number of sampler | 205-999-5798 |
| 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 | B314-042-20 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 100203084 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | F1554-105 |
| Bolt Length(s) | 26" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 1-1/2" X 26" | Bolt Mfg. Lot Number | 10020308423 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | PLAIN | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-14-6-1 ASTM A370-15 (Verified)
DIME Test ID: 2020-07-14-6-2 ASTM A370-15 (Verified)