Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-08-30-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212573 DEA: 010B5504 EFIS: 0112000137 |
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DIST-CO-RTE-PM | 01-MEN-162-16.2 |
Award Date | 09/28/2017 |
Closeout Date | 10/05/2020 |
Work Description | RECONSTRUCT ROADWAY, CONSTRUCT SOLDIER PILE AND TIEBACK WALL |
Location Description | MENDOCINO COUNTY ON ROUTE 162 1 MILE EAST OF MIDDLE FORK EEL RIVER BRIDGE |
QA Service Level | 1 (Verified on 10/03/2017) |
Sample Information
Sample Taken Date | 08/30/2018 | Sample Unique Key | 1 |
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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 | 08/31/2018 |
Sample type | Verification | A brief description of the sample | anchor bolts |
The quantity of what the sample constitutes | 6 and 5 | 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 | CT 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 | B76-177-18 | 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) | DL171103150,DL17105664,10459880 | Nut Mfg. Lot Number(s) | n/a |
Washer Mfg. Lot Number(s) | n/a | Bolt Specification | A449 |
Bolt Length(s) | 6" and 4" | Nut Specification | n/a |
Washer Specification | n/a | Finish | HDG |
Diameter/Size | 1/2" x 4" , 5/8" x 6" | Bolt Mfg. Lot Number | 79139,79141,97405,97217,97406 |
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: 2018-08-30-1-1 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-2 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-3 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-4 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-5 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-6 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-7 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-8 ASTM F606-14 (Verified)
DIME Test ID: 2018-08-30-1-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-10 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-11 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-12 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-13 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-14 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-15 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-16 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-17 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-18 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-08-30-1-19 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-20 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-21 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-22 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-23 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-24 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-25 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-26 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-27 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-28 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-29 ASTM B499-14 (Verified)
DIME Test ID: 2018-08-30-1-30 ASME B1.2-83r01 (Verified)