Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2020-03-06-9

Project Information

Project IdentifiersProject ID: 77777
DEA: STOCK-CHEM
EFIS: STOCK-CHEM
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/06/2020 Sample Unique Key9
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeStock A brief description of the sample3/4" x 30" Anchor Bolt
The quantity of what the sample constitutes203 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 nameAM Nut and Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS52-021-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)3076376 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt Specificationtbd
Bolt Length(s)30" Nut Specificationtbd
Washer Specificationtbd Finish
Diameter/Size3/4" x 30" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.