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 |
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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 |
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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 |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
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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 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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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)