Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-11-05-3
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Project Information
| Project Identifiers | Project ID: 214787 DEA: 032H0804 EFIS: 0317000059 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-160-L3.9 |
| Award Date | 04/24/2020 |
| Closeout Date | 09/30/2021 |
| Work Description | INSTALL CHANGEABLE MESSAGE AND CAMERA SYSTEMS, & PLACE SIGN STRUCTURE. |
| Location Description | SACRAMENTO COUNTY NEAR ANTIOCH AT 3.9 MILES NORTH OF CONTRA COSTA COUNTY LINE |
| QA Service Level | 1 (Verified on 03/24/2020) |
Sample Information
| Sample Taken Date | 11/05/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 11/16/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Bolt Hardware 2-1/2" (Retest) |
| The quantity of what the sample constitutes | 810 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 1-385-447-0624 |
| Laboratory sample identification | na | Linked DIME Sample ID | 2020-10-22-7 |
| The fabricator/manufacturer/facility name | Universal Industrial Sales | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-055-20 | Structure unique identifier | |
| Structure name | na |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 201548 | Nut Mfg. Lot Number(s) | DECN |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | na |
| Bolt Length(s) | na | Nut Specification | A563-DH |
| Washer Specification | na | Finish | Plain |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-11-05-3-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-05-3-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-05-3-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-05-3-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-05-3-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-05-3-6 ASTM E18-15 (Verified)
DIME Test ID: 2020-11-05-3-7 ASTM E18-15 (Verified)
DIME Test ID: 2020-11-05-3-8 ASTM E18-15 (Verified)