Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-01-28-17
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Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | Not set |
| Work Description | Panther Creek & Hunter Creek Bridges |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 01/28/2021 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 02/08/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 1.844 x 8-1/8” pin with safety clips |
| The quantity of what the sample constitutes | 530 pins | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rex | Last name of sampler or witnessed by | Harrison |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 904-238-8258 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Acrow Bridge | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Temporary Modular Bridge |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | AB051 |
|---|---|---|---|
| Heat Number(s) | 2030294801 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM A193 Grade B7 | |
| Bolt Length(s) | 8-1/8" | Nut Specification | n/a |
| Washer Specification | n/a | Finish | |
| Diameter/Size | 1.844" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-01-28-17-1 ASTM A370-15 (Verified)
DIME Test ID: 2021-01-28-17-2 ASTM A370-15 (Verified)