Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-05-18-5
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Project Information
| Project Identifiers | Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-36-42.1/46.0 |
| Award Date | 12/18/2017 |
| Closeout Date | 08/07/2019 |
| Work Description | COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK. |
| Location Description | TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD |
| QA Service Level | 1 (Verified on 05/24/2018) |
Sample Information
| Sample Taken Date | 05/18/2018 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 05/22/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 -10 X 18 anchor bolt |
| The quantity of what the sample constitutes | 9 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Armando | Last name of sampler or witnessed by | Contreras |
| Title of sampler | Caltrans Inspector | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Blue Circle | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L103-13-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 4289117 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | F1554 | |
| Bolt Length(s) | 18" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 3/4" | 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: 2018-05-18-5-1 ASTM A370-15 (Verified)
DIME Test ID: 2018-05-18-5-2 ASTM A370-15 (Verified)
DIME Test ID: 2018-05-18-5-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-05-18-5-4 ASTM B499-14 (Verified)