Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-04-22-2
Sample is locked from editing. info
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 | 12/02/2025 |
| 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 | 04/22/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 04/26/2021 |
| Sample type | Department Acceptance | A brief description of the sample | 1 1/8" F436 HDG Washer |
| The quantity of what the sample constitutes | 120 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 9165170532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Thompson Metal Fab | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-056-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | B53149 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | 0220-393 | Bolt Specification | N/A |
| Bolt Length(s) | Nut Specification | N/A | |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1.125 | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-22-2-1 ASTM B499-14 (Verified)
DIME Test ID: 2021-04-22-2-2 ASTM B499-14 (Verified)
DIME Test ID: 2021-04-22-2-3 ASTM E18-15 (Verified)
DIME Test ID: 2021-04-22-2-4 ASTM E18-15 (Verified)
DIME Test ID: 2021-04-22-2-5 ASTM B499-14 (Verified)
