Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-09-20-14
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993715 DEA: 010G1404 EFIS: 0116000129 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-96,169-VAR |
| Award Date | 11/16/2022 |
| Closeout Date | 06/16/2025 |
| Work Description | HUM 96-169 5 Bridges Rail Upgrade (Do not include in project name: STRUCTURAL STEEL, CONCRETE BARRIER, POLYESTER CONCRETE OVERLAY) |
| Location Description | HUMBOLDT COUNTY ON ROUTES 96 AND 169 AT VARIOUS LOCATIONS (Bridge Nos. 04-0215, 04-0059, 04-0063, 04-0225, 04-0061) |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 09/20/2023 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 09/25/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1" Washers |
| The quantity of what the sample constitutes | 3,056 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Duben | Last name of sampler or witnessed by | Duckworth |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CK Johnson Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S84-137-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 227704 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | 30314-227704 | Bolt Specification | NA |
| Bolt Length(s) | Nut Specification | NA | |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 1 | Bolt Mfg. Lot Number | |
| 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: 2023-09-20-14-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-20-14-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-20-14-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-20-14-4 ASTM E18-20 (Verified)
DIME Test ID: 2023-09-20-14-5 ASTM E18-20 (Verified)
DIME Test ID: 2023-09-20-14-6 ASTM E18-20 (Verified)
