Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-12-14-6
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Project Information
| Project Identifiers | Project ID: 210569 DEA: 083555V4 EFIS: 0814000086 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-42.5/46.0 |
| Award Date | 11/05/2015 |
| Closeout Date | 01/18/2022 |
| Work Description | WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR. |
| Location Description | SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
| Sample Taken Date | 12/14/2017 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 12/18/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Bolt Assembly |
| The quantity of what the sample constitutes | 1 lot of 24 | From where was the sample collected | Fabricator |
| 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 | 510 590-0116 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | EDSCO Fasteners | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S28-379-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 171612, A164718, 3068113 | Nut Mfg. Lot Number(s) | W3217 |
| Washer Mfg. Lot Number(s) | 305406 | Bolt Specification | F1554 Gr 55 |
| Bolt Length(s) | 4'-5" | Nut Specification | A194 Gr 2H |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1.75 | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-12-14-6-1 ASTM A370-15 (Verified)
DIME Test ID: 2017-12-14-6-2 ASTM A370-15 (Verified)
DIME Test ID: 2017-12-14-6-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-6-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-6-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-6-6 ASTM B499-14 (Verified)
DIME Test ID: 2017-12-14-6-7 ASTM B499-14 (Verified)
DIME Test ID: 2017-12-14-6-8 ASTM B499-14 (Verified)
DIME Test ID: 2017-12-14-6-9 ASTM E18-15 (Verified)
DIME Test ID: 2017-12-14-6-10 ASTM E18-15 (Verified)
DIME Test ID: 2017-12-14-6-11 ASTM E18-15 (Verified)