Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-03-24-7
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 | 7 |
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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 pieces | 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 | HEXICO ENTERPRISE COMPANY | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 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) | 2YY03 | Nut Mfg. Lot Number(s) | N/A |
Washer Mfg. Lot Number(s) | 7B2C6FNB1 | Bolt Specification | N/A |
Bolt Length(s) | N/A | Nut Specification | N/A |
Washer Specification | ASTM F436 | Finish | ASTM B695 Type 1 Class 55 |
Diameter/Size | 3/4" | Bolt Mfg. Lot Number | N/A |
Rocap Test Requirement(s) | NO | Lubricant Requirements(s) | NO |
Submitted Tests
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Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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Test File Attachments
DIME Test ID: 2020-03-24-7-1 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-2 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-3 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-4 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-5 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-6 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-7 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-8 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-9 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-10 ASTM B499-14 (Verified)
DIME Test ID: 2020-03-24-7-11 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-12 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-13 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-14 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-15 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-16 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-17 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-18 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-19 ASTM E18-15 (Verified)
DIME Test ID: 2020-03-24-7-20 ASTM E18-15 (Verified)