Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-06-16-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994119 DEA: 033H3904 EFIS: 0317000340 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-22.4 |
| Award Date | 09/21/2022 |
| Closeout Date | 04/07/2025 |
| Work Description | STRUCTURAL STEEL BRIDGE AND PRESTRESS STEEL GIRDERS. |
| Location Description | SACRAMENTO COUNTY IN SACRAMENTO AT THE SOUTH CONNECTOR UNDERCROSSING (BRIDGE NO. 24-0267) |
| QA Service Level | 1 (Verified on 07/18/2022) |
Sample Information
| Sample Taken Date | 06/16/2023 | 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 | 06/20/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 5/8 " A325 Fastener assemblies |
| The quantity of what the sample constitutes | 43 ea | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C&K Johnson Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-115-23 | Structure unique identifier | 24-0267 |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | L905S1R |
|---|---|---|---|
| Heat Number(s) | Bolt 10668880 Nut 1000115088 Washer 139586 | Nut Mfg. Lot Number(s) | W000010649 |
| Washer Mfg. Lot Number(s) | 139586 | Bolt Specification | A325 |
| Bolt Length(s) | 6 1/2" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 5/8 | Bolt Mfg. Lot Number | L905s1 |
| Rocap Test Requirement(s) | yes | Lubricant Requirements(s) | yes |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-16-2-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-06-16-2-2 ASTM F606-21 (Verified)
DIME Test ID: 2023-06-16-2-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-06-16-2-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-06-16-2-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-06-16-2-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-06-16-2-8 ASTM E18-20 (Verified)
