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 IdentifiersProject ID: 214685
DEA: 024E46U4
EFIS: 0216000122
DIST-CO-RTE-PM02-LAS-36-6.0/14.6
Award Date05/08/2020
Closeout Date08/14/2023
Work DescriptionREPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location DescriptionLASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date07/14/2020 Sample Unique Key6
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 testing07/15/2020
Sample typeQuality Assurance A brief description of the sample1-1/2" x 26" Anchor Bolt
The quantity of what the sample constitutes33 From where was the sample collectedFabricator
First name of sampler or witnessed byDong Last name of sampler or witnessed byShin
Title of samplerQA Inspector Telephone number of sampler205-999-5798
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUIS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB314-042-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL 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 SpecificationF1554-105
Bolt Length(s)26" Nut SpecificationN/A
Washer SpecificationN/A FinishHDG
Diameter/Size1-1/2" X 26" Bolt Mfg. Lot Number10020308423
Rocap Test Requirement(s) Lubricant Requirements(s)PLAIN

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-14-6-1ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory07/16/2020bewing
Yes
07/16/2020
2020-07-14-6-2ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory07/16/2020bewing
Yes
07/16/2020

Sample File Attachments

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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)