Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2019-06-13-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211775 DEA: 024E6504 EFIS: 0212000012 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-R52.5/88.4 |
| Award Date | 07/10/2017 |
| Closeout Date | 01/05/2021 |
| Work Description | WIDEN BRIDGES,POLYESTER CONC OVERLAY,COLD PLANE AC PVMT,HMA,GUARDRAIL |
| Location Description | SISKIYOU COUNTY NEAR SEIAD VALLEY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF THOMPSON CREEK BRIDGE TO 0.2 MILE EAST OF BEAVER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/23/2017) |
Sample Information
| Sample Taken Date | 06/13/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 06/18/2019 |
| Sample type | Quality Assurance | A brief description of the sample | A325 Bolt |
| The quantity of what the sample constitutes | 494 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
| Title of sampler | QA Inspector | Telephone number of sampler | 646-740-3704 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Nucor | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-170-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 415844A 396618A 805830 392621A |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | 415206A | |
| Washer Mfg. Lot Number(s) | 309017 | Bolt Specification | A325 |
| Bolt Length(s) | 2-1/4", 2-3/4", 3", 3-1/4" | Nut Specification | A563 Gr. DH |
| Washer Specification | F436 | Finish | Hot Dipped Galvanized |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | 415844A 396618A 805830 392621A |
| 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. | |||