Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-10-28-1
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 | 10/28/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/01/2021 |
| Sample type | Verification | A brief description of the sample | ASTM A563 |
| The quantity of what the sample constitutes | 5 nuts | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jaime | Last name of sampler or witnessed by | Pierson |
| Title of sampler | QA | Telephone number of sampler | 858-987-2947 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Wecall Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 10090546823 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | None | |
| Bolt Length(s) | Nut Specification | ASTM A563 | |
| Washer Specification | None | Finish | |
| Diameter/Size | 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: 2021-10-28-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-10-28-1-2 ASTM B499-14 (Verified)
DIME Test ID: 2021-10-28-1-3 ASTM E18-15 (Verified)
