Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-04-19-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
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DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
Award Date | 11/16/2017 |
Closeout Date | 12/08/2022 |
Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
Sample Taken Date | 04/19/2018 | Sample Unique Key | 2 |
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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 | 04/20/2018 |
Sample type | Verification | A brief description of the sample | 2 1/4 F1554 Gr.55 anchor bolt |
The quantity of what the sample constitutes | 1 | 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 | B76-074-18 | 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) | PL17209390 | Nut Mfg. Lot Number(s) | n/a |
Washer Mfg. Lot Number(s) | n/a | Bolt Specification | F1554 Gr.55 |
Bolt Length(s) | 3'-6" | Nut Specification | n/a |
Washer Specification | n/a | Finish | HDG |
Diameter/Size | 2 1/4" x 3'-6" | Bolt Mfg. Lot Number | UIS/Nucor PL1720939001 |
Rocap Test Requirement(s) | none | Lubricant Requirements(s) | none |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-04-19-2-1 ASTM A370-15 (Verified)
DIME Test ID: 2018-04-19-2-2 ASTM A370-15 (Verified)
DIME Test ID: 2018-04-19-2-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-04-19-2-4 ASTM B499-14 (Verified)