DIME - Sample Record for DIME Sample ID 2021-02-09-16

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Sample Record

Owner Lab

CT HQ - QASI Sacramento Field Office

DIME Sample ID 2021-02-09-16

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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	16
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	03/12/2021
Sample type	Quality Assurance	A brief description of the sample	ASTM F436 washers 1" diam.
The quantity of what the sample constitutes	174 washers	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	S46-122-21	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)
Heat Number(s)	107480	Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s)	0820-553	Bolt Specification	N/A
Bolt Length(s)		Nut Specification	N/A
Washer Specification	ASTM F436	Finish	ASTM A153 HDG
Diameter/Size	5/8"	Bolt Mfg. Lot Number
Rocap Test Requirement(s)		Lubricant Requirements(s)

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2021-02-09-16-1	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory	02/23/2021	Brian Ewing	Yes	03/02/2021
2021-02-09-16-2	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory	02/23/2021	Brian Ewing	Yes	03/02/2021
2021-02-09-16-3	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory	02/23/2021	Brian Ewing	Yes	03/02/2021
2021-02-09-16-4	ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)	Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory	02/23/2021	Brian Ewing	Yes	03/02/2021
2021-02-09-16-5	ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)	Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory	02/23/2021	Brian Ewing	Yes	03/02/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-02-09-16-1 ASTM B499-14 (Verified)
DIME Test ID: 2021-02-09-16-2 ASTM B499-14 (Verified)
DIME Test ID: 2021-02-09-16-3 ASTM B499-14 (Verified)
DIME Test ID: 2021-02-09-16-4 ASTM E18-15 (Verified)
DIME Test ID: 2021-02-09-16-5 ASTM E18-15 (Verified)