Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-09-19-8
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994486 DEA: 051Q0804 EFIS: 0522000148 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR,SCR/SCR-9,1-17.41/17.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Repair of viaduct barrier wall and replace CIDH piles. Holiday Lane Viaduct Slipout. State Route 9 at PM SCR-09-8.4 Jay's Slide, and SR 236 (SCR-236-16.87) |
| Location Description | Santa Cruz County. State Route 9 at PM SCR-09-8.4 and SR 236 (SCR-236-16.87) |
| QA Service Level | 1 (Verified on 02/13/2023) |
Sample Information
| Sample Taken Date | 09/19/2023 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 09/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/4" A563-DH hex Bolt HDG |
| The quantity of what the sample constitutes | 386 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 385-452-2398 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Industrial Sales Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-177-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 223882 | Nut Mfg. Lot Number(s) | 37825-223882 |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | na |
| Bolt Length(s) | na | Nut Specification | A563-DH |
| Washer Specification | na | Finish | HDG |
| Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | Wax Dye |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-19-8-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-09-19-8-2 ASTM F606-21 (Verified)
DIME Test ID: 2023-09-19-8-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-09-19-8-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-09-19-8-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-19-8-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-19-8-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-19-8-8 ASME B1.2-83r17 (Verified)
