Sample Record

DIME Sample ID 2016-12-01-1

Project Information

Project IdentifiersProject ID: 211004
DEA: 05330784
EFIS: 0512000076
DIST-CO-RTE-PM05-SLO-46-46.0/50.2
Award Date02/10/2016
Closeout Date10/15/2019
Work DescriptionCONVERT 2-LANE TO 4 LANE EXPRESSWAY.
Location DescriptionNEAR SHANDON FROM 0.2 MILE EAST OF MCMILLIAN CANYON ROAD TO 0.4 MILE WEST OF LUCY BROWN ROAD
QA Service Level1 (Verified on 01/08/2016)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date12/01/2016 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleA449 Bolt/nut/Washer The quantity of what the sample constitutes36
From where was the sample collectedManufacturer First name of sampler or witnessed byStacey
Last name of sampler or witnessed byDavis Title of samplerQAI
Telephone number of sampler562 480-6984 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePortland Bolt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB362-075-16
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)Bolt- 3051123 Nut 75062745, washer 267181 Nut Mfg. Lot Number(s)23468-75062745
Washer Mfg. Lot Number(s)0616-264 Bolt SpecificationASTM A449
Bolt Length(s)15.5" Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishASTM A153 - Hot Dip
Diameter/Size7/8" Bolt Mfg. Lot Number
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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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