DIME - Sample Record for DIME Sample ID 2020-03-24-6

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Sample Record

Owner Lab

CT HQ - QASI Sacramento Field Office

DIME Sample ID 2020-03-24-6

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Project Information

Project Identifiers	Project ID: 214421 DEA: 01362704 EFIS: 0116000031
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	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	04/10/2020
Sample type	Quality Assurance	A brief description of the sample	ASTM A194 2H Heavy Hex Nut
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	Ningbo Dongxin Nut 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
Heat Number(s)	G731102845	Nut Mfg. Lot Number(s)	0601DX100-1031-1
Washer Mfg. Lot Number(s)	N/A	Bolt Specification	N/A
Bolt Length(s)	N/A	Nut Specification	ASTM A194
Washer Specification	N/A	Finish	ASTM F2329
Diameter/Size	5/8" DIAMETER	Bolt Mfg. Lot Number	N/A
Rocap Test Requirement(s)	no	Lubricant Requirements(s)	yes

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2020-03-24-6-11	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-12	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-13	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-14	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-15	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-16	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-17	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020
2020-03-24-6-18	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/14/2020	Fred Saylor	Yes	04/15/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-03-24-6-1 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-2 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-3 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-4 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-5 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-6 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-7 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-8 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-9 ASTM F606-14a (Verified)
DIME Test ID: 2020-03-24-6-10 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-11 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-12 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-13 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-14 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-15 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-16 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-17 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-6-18 ASTM B499-14 (Verified)