Sample Record

Owner Labs

  • CT QASI - Bay Area Field Laboratory
  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2017-06-15-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212468
DEA: 113A0534
EFIS: 1117000127
DIST-CO-RTE-PM11-SD-75-
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 05/25/2017)

Sample Information

Sample Taken Date06/15/2017 Sample Unique Key3
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 testing06/15/2017
Sample typeVerification A brief description of the sampleF1554 gr.55 anchor assembly
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byFlygare
Title of samplerUnknown Telephone number of sampler801-669-2984
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUIS Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormB76-057-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)n/a
Heat Number(s)PL16106308 Nut Mfg. Lot Number(s)24875, NF15200634
Washer Mfg. Lot Number(s)n/a Bolt SpecificationF1554 gr. 55
Bolt Length(s)3'-0" Nut SpecificationA563-DH
Washer Specificationn/a FinishHDG,plain
Diameter/Size1 1/2" x 3'-0" Bolt Mfg. Lot NumberPL1610630802
Rocap Test Requirement(s)none Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-06-15-3-11ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory07/06/2017Brian Ewing
Yes
07/13/2017