Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-03-09-1
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Project Information
| Project Identifiers | Project ID: 212571 DEA: 051F79A4 EFIS: 0514000061 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-55.9/R56.2 |
| Award Date | 09/13/2022 |
| Closeout Date | Not set |
| Work Description | Nojoqui Creek Bridge (51-0018 L/R) widening and rail replacement. |
| Location Description | IN SANTA BARBARA COUNTY NEAR BUELLTON AT NOJOQUI CREEK BRIDGE (BR #51-0018 L/R) |
| QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
| Sample Taken Date | 03/09/2023 | 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 | 03/15/2023 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A307 |
| The quantity of what the sample constitutes | 50 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | Telephone number of sampler | 9168266371 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt - Oregon | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-121-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 1201041904 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM A307 Grade A F1554 | |
| Bolt Length(s) | 12" | Nut Specification | n/a |
| Washer Specification | n/a | Finish | HDG |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 1201041904 |
| 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: 2023-03-09-1-1 ASTM F606-21 (Verified)