Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2019-12-11-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212794
DEA: 024F7804
EFIS: 0213000032
DIST-CO-RTE-PM02-SHA,LAS,PLU,SHA,SIS,TRI-5-22087-25.7
Award Date12/20/2018
Closeout Date10/20/2021
Work DescriptionCMS SIGNS IN SHASTA COUNTY
Location DescriptionIN BUTTE, LASSEN, PLUMAS, SHASTA, SISKIYOU AND TRINITY COUNTIES IN VARIOUS LOCATIONS.
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date12/11/2019 Sample Unique Key24
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 testing12/18/2019
Sample typeQuality Assurance A brief description of the sample3/4" REG L/W 1060 MG CL55 lock washer
The quantity of what the sample constitutes290 From where was the sample collectedFabricator
First name of sampler or witnessed byJane Last name of sampler or witnessed byLillard
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler916-308-9430
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructural and Steel Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS52-031-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1052700 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s)316401 Bolt Specificationn/a
Bolt Length(s)2" Nut Specificationn/a
Washer SpecificationASME B18.21.1 FinishMechanically Galvanized to ASTM B695
Diameter/Size3/4" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)not required

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-11-24-1ASTM 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 Laboratory12/19/2019Steven Paine
Yes
12/23/2019
2019-12-11-24-2ASTM 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 Laboratory12/19/2019Steven Paine
Yes
12/23/2019
2019-12-11-24-3ASTM 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 Laboratory12/19/2019Steven Paine
Yes
12/23/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2019-12-11-24-1 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-11-24-2 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-11-24-3 ASTM B499-14 (Verified)