Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-06-22-3
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Project Information
| Project Identifiers | Project ID: 211768 DEA: 043K1104 EFIS: 0417000079 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-80-8.3, 8.30 |
| Award Date | 10/10/2016 |
| Closeout Date | 10/17/2019 |
| Work Description | Replace SAS tower anchor rod grout |
| Location Description | Bay Bridge |
| QA Service Level | 1 (Verified on 01/09/2017) |
Sample Information
| Sample Taken Date | 06/22/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 06/26/2017 |
| Sample type | Acceptance | A brief description of the sample | A325 MG Rocap Assembiy |
| The quantity of what the sample constitutes | 67 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Leavitt |
| Title of sampler | QA Inspector | Telephone number of sampler | 5105900116 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | LeJeune Bolt Company | Transportation Laboratory (TL) Number | C719183 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S28-189-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | L1412183 |
|---|---|---|---|
| Heat Number(s) | 10379920 | Nut Mfg. Lot Number(s) | Unytite |
| Washer Mfg. Lot Number(s) | 24555-6214189902 | Bolt Specification | A325 |
| Bolt Length(s) | 3-1/4" | Nut Specification | A563 DH |
| Washer Specification | F436 | Finish | MG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 752641 |
| Rocap Test Requirement(s) | F3125 | Lubricant Requirements(s) | Yes |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-22-3-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-22-3-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-22-3-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-22-3-4 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-5 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-6 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-7 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-22-3-8 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-22-3-9 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-10 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-11 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-12 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-13 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-14 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-22-3-15 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-22-3-16 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-22-3-17 ASTM F606-14a (Verified)