Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-02-09-15
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215014 DEA: 101C9404 EFIS: 1016000020 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5-26.4/27.0 |
| Award Date | 11/03/2020 |
| Closeout Date | 03/03/2022 |
| Work Description | BRIDGE REHABILITATION |
| Location Description | ON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE |
| QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
| Sample Taken Date | 02/09/2021 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 02/12/2021 |
| Sample type | Quality Assurance | A brief description of the sample | A563-DH HDG Nut |
| The quantity of what the sample constitutes | 174 Nuts | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
| Title of sampler | QA Inspector | Telephone number of sampler | 646-740-3704 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CK Johnson | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-121-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 100798972 | Nut Mfg. Lot Number(s) | 430236A |
| Washer Mfg. Lot Number(s) | Bolt Specification | N/A | |
| Bolt Length(s) | Nut Specification | ASTM A563 | |
| Washer Specification | N/A | Finish | ASTM F2329 |
| Diameter/Size | 5/8"-11 | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-09-15-1 ASTM F606-14a (Verified)
DIME Test ID: 2021-02-09-15-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-02-09-15-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-02-09-15-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-02-09-15-5 ASTM B499-14 (Verified)
DIME Test ID: 2021-02-09-15-6 ASTM B499-14 (Verified)
DIME Test ID: 2021-02-09-15-7 ASTM B499-14 (Verified)
