Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-03-24-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214421 DEA: 01362704 EFIS: 0116000031 |
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DIST-CO-RTE-PM | 01-MEN-1-62.2/R78.9 |
Award Date | 12/23/2019 |
Closeout Date | 03/09/2021 |
Work Description | HOT MIX ASPHALT OVERLAY. |
Location Description | MENDOCINO COUNTY NEAR FORT BRAGG FROM 0.1 MILE NORTH OF PUDDING CREEK BRIDGE TO 0.6 MILE NORTH OF WAGES CREEK BRIDGE |
QA Service Level | 1 (Verified on 09/19/2019) |
Sample Information
Sample Taken Date | 03/24/2020 | Sample Unique Key | 5 |
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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 | 04/10/2020 |
Sample type | Quality Assurance | A brief description of the sample | ASTM F436 Washer |
The quantity of what the sample constitutes | 200 | 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 | CT METS QA INSPECTOR | Telephone number of sampler | 646-740-3704 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | HEXICO ENTERPRISE COMPANY | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-350-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
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Heat Number(s) | 1PW61 | Nut Mfg. Lot Number(s) | N/A |
Washer Mfg. Lot Number(s) | 882C5FNJ2 | Bolt Specification | N/A |
Bolt Length(s) | N/A | Nut Specification | N/A |
Washer Specification | ASTM F436 | Finish | ASTM B695 |
Diameter/Size | 5/8" DIAMETER | Bolt Mfg. Lot Number | N/A |
Rocap Test Requirement(s) | no | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-03-24-5-1 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-2 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-3 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-4 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-5 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-6 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-7 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-8 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-9 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-5-10 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-11 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-12 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-13 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-14 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-15 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-16 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-17 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-5-18 ASTM E18-15 (Verified)