Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-03-19-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212795 DEA: 05937704 EFIS: 0514901244 Permit Numbers: 05176UB0132 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-68-4.04 |
| Award Date | 09/06/2017 |
| Closeout Date | 05/24/2019 |
| Work Description | Install a water pipeline bridge including a 36 inch diameter steel casing |
| Location Description | County of Monterey |
| QA Service Level | 1 (Verified on 09/25/2017) |
Sample Information
| Sample Taken Date | 03/19/2018 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 03/26/2018 |
| Sample type | Quality Assurance | A brief description of the sample | Allthread anchor rod assembly |
| The quantity of what the sample constitutes | Two Threaded Rod Assemblies | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Doe |
| Title of sampler | QA Inspector | Telephone number of sampler | (503) 918-4918 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | TL-101# 836243 |
| The fabricator/manufacturer/facility name | Coastal Fabrication | Transportation Laboratory (TL) Number | C836243 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-024-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 62143718 8196752 | Nut Mfg. Lot Number(s) | 32N9D |
| Washer Mfg. Lot Number(s) | Bolt Specification | A722 | |
| Bolt Length(s) | 5' | Nut Specification | A29 |
| Washer Specification | n/a | Finish | HDG |
| Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | 32N9D |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||