DIME - Sample Record for DIME Sample ID 2019-04-24-2

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Sample Record

Owner Lab

CT HQ - QASI Bay Area Field Office

DIME Sample ID 2019-04-24-2

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Project Information

Project Identifiers	Project ID: 212618 DEA: 044G0564 EFIS: 0417000154
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	04/24/2019	Sample Unique Key	2
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	04/26/2019
Sample type	Verification	A brief description of the sample	5/8" x 1 3/4" w/washer & 1" x 2 1/4" w/washer
The quantity of what the sample constitutes	1ea and 3ea	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	8016692984
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	UIS	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	B76-060-19	Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)	none
Heat Number(s)	20391740,21832320,10578080,21541940	Nut Mfg. Lot Number(s)	n/a
Washer Mfg. Lot Number(s)	Prestige-D2048, Prestige-D6603	Bolt Specification	A325
Bolt Length(s)	1 3/4" and 2 1/4"	Nut Specification	n/a
Washer Specification	F436	Finish	MG
Diameter/Size	5/8" and 1"	Bolt Mfg. Lot Number	SLSB-BM0703, SLSB-BM0196
Rocap Test Requirement(s)	none	Lubricant Requirements(s)	none

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-04-24-2-1	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-2	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-3	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-4	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-5	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-6	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-7	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-8	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-9	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019
2019-04-24-2-10	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	05/02/2019	Steven Paine	Yes	05/10/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-04-24-2-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-04-24-2-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-04-24-2-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-04-24-2-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-04-24-2-5 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-6 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-7 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-8 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-9 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-10 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-11 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-12 ASTM B499-14 (Verified)
DIME Test ID: 2019-04-24-2-13 ASTM E18-15 (Verified)
DIME Test ID: 2019-04-24-2-14 ASTM E18-15 (Verified)
DIME Test ID: 2019-04-24-2-15 ASTM E18-15 (Verified)
DIME Test ID: 2019-04-24-2-16 ASTM E18-15 (Verified)
DIME Test ID: 2019-04-24-2-17 ASTM E18-15 (Verified)
DIME Test ID: 2019-04-24-2-18 ASTM E18-15 (Verified)