Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-07-14-6
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122 |
---|---|
DIST-CO-RTE-PM | 02-LAS-36-6.0/14.6 |
Award Date | 05/08/2020 |
Closeout Date | 08/14/2023 |
Work Description | REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK. |
Location Description | LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD |
QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
Sample Taken Date | 07/14/2020 | 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 | 07/15/2020 |
Sample type | Quality Assurance | A brief description of the sample | 1-1/2" x 26" Anchor Bolt |
The quantity of what the sample constitutes | 33 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Dong | Last name of sampler or witnessed by | Shin |
Title of sampler | QA Inspector | Telephone number of sampler | 205-999-5798 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B314-042-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
---|---|---|---|
Heat Number(s) | 100203084 | Nut Mfg. Lot Number(s) | N/A |
Washer Mfg. Lot Number(s) | N/A | Bolt Specification | F1554-105 |
Bolt Length(s) | 26" | Nut Specification | N/A |
Washer Specification | N/A | Finish | HDG |
Diameter/Size | 1-1/2" X 26" | Bolt Mfg. Lot Number | 10020308423 |
Rocap Test Requirement(s) | Lubricant Requirements(s) | PLAIN |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2020-07-14-6-1 ASTM A370-15 (Verified)
DIME Test ID: 2020-07-14-6-2 ASTM A370-15 (Verified)