Sample Record

DIME Sample ID 2021-02-01-8

Project Information

Project IdentifiersProject ID: 214601
DEA: 041J5694
EFIS: 0419000313
DIST-CO-RTE-PM04-SM-101-0.0/21.8
Award Date12/03/2019
Closeout Date09/28/2022
Work DescriptionSan Mateo US 101 Express Lanes North
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

Sample Information

Sample Taken Date02/01/2021 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample3 sets, each set is one 2.25" rod, 1 2.25" galvanized nut, 1 2.25" black nut and 2.25" washer The quantity of what the sample constitutes3 sets . sampled remotely
From where was the sample collectedOther First name of sampler or witnessed byFrederic
Last name of sampler or witnessed byAboujaoude Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMadden Bolts
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL147-001-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)58043509 Nut Mfg. Lot Number(s)DECC
Washer Mfg. Lot Number(s)M040606 Bolt Specification F1554, Grade 55
Bolt Length(s) Nut SpecificationASTM 563 and ASTM A194, Grade 2H
Washer Specification flat washer, ASTM 436 FinishHDG
Diameter/Size2.25" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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