Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-07-13-10
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212777 DEA: 021H1104 EFIS: 0215000106 |
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DIST-CO-RTE-PM | 02-LAS-299-25.58/25.58 |
Award Date | 12/04/2019 |
Closeout Date | 08/14/2023 |
Work Description | BUILDING WORK. |
Location Description | LASSEN COUNTY ABOUT 11 MILES EAST OF BIEBER AT THE ADIN MAINTENANCE STATION |
QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
Sample Taken Date | 07/13/2020 | Sample Unique Key | 10 |
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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 | 07/17/2020 |
Sample type | Quality Assurance | A brief description of the sample | A563-DH HDG Hex Nut |
The quantity of what the sample constitutes | 534 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Doe |
Title of sampler | QA Inspector | Telephone number of sampler | (916) 838-4405 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | C and K Johnson Industries | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S50-040-20 | 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) | 100202011 | Nut Mfg. Lot Number(s) | 432149E |
Washer Mfg. Lot Number(s) | n/a | Bolt Specification | n/a |
Bolt Length(s) | n/a | Nut Specification | ASTM A563 |
Washer Specification | n/a | Finish | ASTM A153 - Hot Dip / Green Lube |
Diameter/Size | 3/4 - 10 | Bolt Mfg. Lot Number | n/a |
Rocap Test Requirement(s) | 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: 2020-07-13-10-1 ASTM F606-14a (Verified)
DIME Test ID: 2020-07-13-10-2 ASTM F606-14a (Verified)
DIME Test ID: 2020-07-13-10-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-13-10-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-13-10-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-13-10-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-13-10-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-13-10-8 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-13-10-9 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-13-10-10 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-13-10-11 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-13-10-12 ASTM B499-14 (Verified)