Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-07-06-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211800 DEA: 09356104 EFIS: 0912000044 |
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DIST-CO-RTE-PM | 09-MNO-395-34.1 |
Award Date | 01/31/2017 |
Closeout Date | 11/12/2019 |
Work Description | CONSTRUCT MAINTENANCE EQUIPMENT STORAGE BUILDING AND SITE WORK. |
Location Description | BUILDING CONSTRUCTION ADJACENT TO STATE HIGHWAY IN MONO COUNTY AT CRESTVIEW AT THE CRESTVIEW SATELLITE MAINTENANCE STATION |
QA Service Level | 1 (Verified on 06/01/2017) |
Sample Information
Sample Taken Date | 07/06/2017 | Sample Unique Key | 5 |
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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 | 07/13/2017 |
Sample type | Quality Assurance | A brief description of the sample | F1554 anchor rod |
The quantity of what the sample constitutes | 1 Lot of 8 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Stacey | Last name of sampler or witnessed by | Davis |
Title of sampler | QAI | Telephone number of sampler | 5624806984 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Portland Bolt | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B362-067-17 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
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Heat Number(s) | PL15107101 | Nut Mfg. Lot Number(s) | 75064846 |
Washer Mfg. Lot Number(s) | N/A | Bolt Specification | F1554, Gr 36 |
Bolt Length(s) | 4" | Nut Specification | A563 DH |
Washer Specification | N/A Building work | Finish | HDG |
Diameter/Size | 5/8" | Bolt Mfg. Lot Number | KG1690000587 |
Rocap Test Requirement(s) | None | Lubricant Requirements(s) | Yes |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-07-06-5-1 ASTM F606-14 (Verified)
DIME Test ID: 2017-07-06-5-2 ASTM F606-14 (Verified)
DIME Test ID: 2017-07-06-5-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-07-06-5-4 ASTM B499-14 (Verified)