Sample Record

DIME Sample ID 2023-07-20-50

Project Information

Project IdentifiersProject ID: 994090
DEA: 01434804
EFIS: 0100000672
DIST-CO-RTE-PM01-MEN-1-62.0/62.3
Award Date10/21/2022
Closeout Date10/01/2025
Work DescriptionPudding Creek Bridge Widening
Location DescriptionMENDOCINO COUNTY IN FORT BRAGG FROM ELM STREET TO PUDDING CREEK ROAD 421
QA Service Level1 (Verified on 07/11/2022)

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date07/20/2023 Sample Unique Key50
Date that the sample was received by the laboratory/organization performing the testing08/02/2023 Sample typeQuality Assurance
A brief description of the samplefastener Assembly The quantity of what the sample constitutes34
From where was the sample collectedJob Site First name of sampler or witnessed byWill
Last name of sampler or witnessed byCudney Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePortland Bolt
Transportation Laboratory (TL) NumberC928680 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)5394187 Nut Mfg. Lot Number(s)W000044824
Washer Mfg. Lot Number(s) Bolt SpecificationA449 HDG
Bolt Length(s)34 Nut Specification1.25 GR DH HVY HEX
Washer SpecificationNA Finish
Diameter/Size1.25 Bolt Mfg. Lot Number5394187
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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