Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-04-27-10
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214858 DEA: 11424904 EFIS: 1116000094 |
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DIST-CO-RTE-PM | 11-SD-5,8,15,52,54-Var |
Award Date | 05/13/2020 |
Closeout Date | 09/14/2023 |
Work Description | Install roadside signs. |
Location Description | 11-SD-5, 8, 15, 52, 54, etc.-Var. |
QA Service Level | 1 (Verified on 11/30/2020) |
Sample Information
Sample Taken Date | 04/27/2021 | Sample Unique Key | 10 |
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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 | 04/27/2021 |
Sample type | Quality Assurance | A brief description of the sample | F1554-55 Anchor Bolt |
The quantity of what the sample constitutes | 146 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 385-447-0624 |
Laboratory sample identification | na | Linked DIME Sample ID | na |
The fabricator/manufacturer/facility name | Universal Industrial Sales Inc | Transportation Laboratory (TL) Number | na |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-052-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
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Heat Number(s) | 1201022732 | Nut Mfg. Lot Number(s) | na |
Washer Mfg. Lot Number(s) | na | Bolt Specification | F1554-55 S1 |
Bolt Length(s) | 4'-2" | Nut Specification | na |
Washer Specification | na | Finish | HGD/Plain |
Diameter/Size | 2" | Bolt Mfg. Lot Number | na |
Rocap Test Requirement(s) | na | Lubricant Requirements(s) | Plain |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-04-27-10-1 ASTM A370-15 (Verified)
DIME Test ID: 2021-04-27-10-2 ASTM A370-15 (Verified)
DIME Test ID: 2021-04-27-10-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-04-27-10-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-04-27-10-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-04-27-10-6 ASTM B499-14 (Verified)
DIME Test ID: 2021-04-27-10-7 ASTM B499-14 (Verified)
DIME Test ID: 2021-04-27-10-8 ASTM B499-14 (Verified)