Sample Record

DIME Sample ID 2022-03-21-4

Project Information

Project IdentifiersProject ID: 214099
DEA: 024F5904
EFIS: 0213000010
DIST-CO-RTE-PM02-TEH-5-R25.4
Award Date07/08/2020
Closeout Date08/14/2023
Work DescriptionBRIDGE SEISMIC RETROFIT AND SCOUR REPAIR.
Location DescriptionTEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE
QA Service Level1 (Verified on 05/07/2019)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date03/21/2022 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample7/8" x 5 1/2" A449 HDG all thread rod with nuts and washers The quantity of what the sample constitutes57 fastener assemblies
From where was the sample collectedFabricator First name of sampler or witnessed byGreg
Last name of sampler or witnessed byThompson Title of samplerAssociate Steel Inspector
Telephone number of sampler510-376-7155 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameC&K Johnson
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB9-036-22
Structure unique identifier08-0095 R/L Structure nameSacramento River Bridge- I5
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)10707140 bar nut- 35213 washer 0721-890 Nut Mfg. Lot Number(s)35213
Washer Mfg. Lot Number(s)0721-890 Bolt SpecificationA449
Bolt Length(s)5 1/2" Nut SpecificationA563 dh
Washer SpecificationF436 FinishHDGalv
Diameter/Size7/8" Bolt Mfg. Lot Number10707140
Rocap Test Requirement(s) Lubricant Requirements(s)yes
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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