Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-06-27-2
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Project Information
| Project Identifiers | Project ID: 211004 DEA: 05330784 EFIS: 0512000076 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-46.0/50.2 |
| Award Date | 02/10/2016 |
| Closeout Date | 10/15/2019 |
| Work Description | CONVERT 2-LANE TO 4 LANE EXPRESSWAY. |
| Location Description | NEAR SHANDON FROM 0.2 MILE EAST OF MCMILLIAN CANYON ROAD TO 0.4 MILE WEST OF LUCY BROWN ROAD |
| QA Service Level | 1 (Verified on 01/08/2016) |
Sample Information
| Sample Taken Date | 06/27/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 06/27/2017 |
| Sample type | Verification | A brief description of the sample | 7/8 x 16 A449 anchor bolt assembly |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | CA METS QA Inspector | Telephone number of sampler | 801-669-2984 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-074-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | none |
|---|---|---|---|
| Heat Number(s) | Bolt 166726, washer 41542750, nut10432280 | Nut Mfg. Lot Number(s) | Decker 16-40-005 |
| Washer Mfg. Lot Number(s) | Prestige D2181 | Bolt Specification | A449 |
| Bolt Length(s) | 16" | Nut Specification | A563-DH |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 7/8 | Bolt Mfg. Lot Number | Rockford 29391 |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) | none |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-27-2-1 ASTM F606-14 (Verified)
DIME Test ID: 2017-06-27-2-2 ASTM F606-14a (Verified)
DIME Test ID: 2017-06-27-2-3 ASTM F606-14a (Verified)
DIME Test ID: 2017-06-27-2-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-10 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-11 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-06-27-2-12 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-13 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-14 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-15 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-16 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-17 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-18 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-19 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-20 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-21 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-22 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-23 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-24 ASTM B499-14 (Verified)
DIME Test ID: 2017-06-27-2-25 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-27-2-26 ASTM E18-15 (Verified)
DIME Test ID: 2017-06-27-2-27 ASTM E18-15 (Verified)