Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-02-10-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213406 DEA: 030F2504 EFIS: 0300000075 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL,SAC-80-R11.1/R11.7,M0.0/M0.5 |
| Award Date | 08/21/2020 |
| Closeout Date | 07/31/2023 |
| Work Description | SAC RIVER BOH (BRYTE BEND) |
| Location Description | SACRAMENTO AND YOLO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO FROM 0.1 MILE WEST OF REED AVENUE UNDERCROSSING TO 0.1 MILE EAST OF SACRAMENTO RIVER BRIDGE AND OVERHEAD |
| QA Service Level | 1 (Verified on 06/07/2018) |
Sample Information
| Sample Taken Date | 02/10/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 5/8" F436 Washers |
| The quantity of what the sample constitutes | 16,689 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 | S46-150-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 443696A and 448446A |
|---|---|---|---|
| Heat Number(s) | B57380 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | E0076 | Bolt Specification | N/A |
| Bolt Length(s) | N/A | Nut Specification | N/A |
| Washer Specification | ASTM F436 | Finish | ASTM F2329 AND A153 HDG |
| Diameter/Size | 5/8" | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | YES | Lubricant Requirements(s) | |
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||