DIME - Sample Record for DIME Sample ID 2020-09-14-12

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Sample Record

Owner Lab

CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-09-14-12

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Project Information

Project Identifiers	Project ID: 214228 DEA: 120N4904 EFIS: 1214000050
DIST-CO-RTE-PM	12-ORA-91-R12.5/R13.9
Award Date	11/29/2022
Closeout Date	11/07/2023
Work Description	VEHICLE ENFORCEMENT FACILITY IMPROVEMENT AT PERALTA WEIGH STATION.
Location Description	ORANGE COUNTY IN ANAHEIM FROM 1.0 MILE EAST OF ROUTE 91/90 SEPARATION TO 0.5 MILE WEST OF WEIR CANYON ROAD UNDERCROSSING
QA Service Level	1 (Verified on 08/13/2019)

Sample Information

Sample Taken Date	09/14/2020	Sample Unique Key	12
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	09/18/2020
Sample type	Quality Assurance	A brief description of the sample	5/8" HHN's
The quantity of what the sample constitutes	109	From where was the sample collected	Distributor
First name of sampler or witnessed by	Steve	Last name of sampler or witnessed by	Hall
Title of sampler	CT METS QA INSPECTOR	Telephone number of sampler	6466327821
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Bristol Machine	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	L134-205-20	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)
Heat Number(s)	6215104804	Nut Mfg. Lot Number(s)	31980-6215104804
Washer Mfg. Lot Number(s)	N/A	Bolt Specification	N/A
Bolt Length(s)	N/A	Nut Specification	ASTM A563 Gr. DH
Washer Specification	N/A	Finish	Black
Diameter/Size	5/8"	Bolt Mfg. Lot Number	N/A
Rocap Test Requirement(s)		Lubricant Requirements(s)

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2020-09-14-12-1	ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)	spaine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2020	spaine	Yes	09/30/2020	Nut Proof Load
2020-09-14-12-2	ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2020	Steven Paine	Yes	09/30/2020
2020-09-14-12-3	ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2020	Steven Paine	Yes	09/30/2020
2020-09-14-12-4	ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2020	Steven Paine	Yes	09/30/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-09-14-12-1 ASTM F606-14a (Verified)
DIME Test ID: 2020-09-14-12-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-09-14-12-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-09-14-12-4 ASME B1.2-83r01 (Verified)