Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2019-02-05-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212687 DEA: 06442544 EFIS: 0612000175 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-46,5-31.5-33.2 |
| Award Date | 01/11/2018 |
| Closeout Date | 11/19/2021 |
| Work Description | CONVERT 2-LANE TO 4-LANE CONVENTIONAL HIGHWAY. |
| Location Description | KERN COUNTY NEAR LOST HILLS FROM 1.0 MILE EAST OF LOST HILLS ROAD TO 0.7 MILE EAST OF ROUTE 46/5 SEPARATION |
| QA Service Level | 1 (Verified on 03/12/2018) |
Sample Information
| Sample Taken Date | 02/05/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 02/08/2019 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Rob | Last name of sampler or witnessed by | RAMOS |
| Title of sampler | QA | Telephone number of sampler | 916-996-2658 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Platte Anchor Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S08-01819 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 3051299 | Nut Mfg. Lot Number(s) | 21979-6213174804 |
| Washer Mfg. Lot Number(s) | 292683 | Bolt Specification | 1554 Gr.55 |
| Bolt Length(s) | 24", 26 1/4" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1-1/8 | Bolt Mfg. Lot Number | 3051299 |
| 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. | |||