Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-08-21-12
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Project Information
| Project Identifiers | Project ID: 994816 DEA: 010E11U4 EFIS: 0123000069 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-1-31.1/31.6 |
| Award Date | 11/15/2023 |
| Closeout Date | Not set |
| Work Description | STRUCTURAL CONC BRIDGE, TEMP BRIDGE AND BAR REINFORCING STEEL. |
| Location Description | MENDOCINO COUNTY NEAR ELK FROM 0.2 MILE SOUTH OF ELK CREEK BRIDGE TO 0.2 MILE NORTH OF ELK CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/22/2023) |
Sample Information
| Sample Taken Date | 08/21/2024 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 08/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1-3/4"x53" F1554 Grade 105 w/ 5-1/2" thread each end |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Alvarez |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C & K Johnson Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S91-030-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 79006330 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 Grade 105 | |
| Bolt Length(s) | 53 | Nut Specification | A563 |
| Washer Specification | F436 | Finish | ASTM A153 - Hot Dip |
| Diameter/Size | 1-3/4" | 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: 2024-08-21-12-1 ASTM A370-20 (Verified)
DIME Test ID: 2024-08-21-12-2 ASTM A370-20 (Verified)
DIME Test ID: 2024-08-21-12-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-08-21-12-4 ASTM B499-09r21 (Verified)