DIME - Sample Record for DIME Sample ID 2020-10-28-1

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Sample Record

Owner Lab

CT HQ - QASI Bay Area Field Office

DIME Sample ID 2020-10-28-1

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Project Information

Project Identifiers	Project ID: 213749 DEA: 120C1104 EFIS: 1200000633
DIST-CO-RTE-PM	12-ORA-57-20.3/21.6
Award Date	04/19/2019
Closeout Date	Not set
Work Description	SR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS.
Location Description	ORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING
QA Service Level	1 (Verified on 05/31/2019)

Sample Information

Sample Taken Date	10/28/2020	Sample Unique Key	1
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	10/28/2020
Sample type	Quality Assurance	A brief description of the sample	Anchor Bolt Samples
The quantity of what the sample constitutes	400	From where was the sample collected	Fabricator
First name of sampler or witnessed by	David	Last name of sampler or witnessed by	Lund
Title of sampler	CT METS QA INSPECTOR	Telephone number of sampler	1-385-447-0624
Laboratory sample identification	na	Linked DIME Sample ID	na
The fabricator/manufacturer/facility name	Universal Industrial Sales	Transportation Laboratory (TL) Number	na
Inspector Lot Number from the Transportation Laboratory (TL) Form	B390-050-20	Structure unique identifier
Structure name	na

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)	na
Heat Number(s)	1202022608	Nut Mfg. Lot Number(s)	na
Washer Mfg. Lot Number(s)	na	Bolt Specification	F1554-55
Bolt Length(s)	5'-0"	Nut Specification	na
Washer Specification	na	Finish	HDG/ Plain
Diameter/Size	2-1/2"	Bolt Mfg. Lot Number	na
Rocap Test Requirement(s)	na	Lubricant Requirements(s)	na

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2020-10-28-1-1	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-2	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-3	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-4	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-5	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-6	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-7	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-8	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-9	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020
2020-10-28-1-10	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	11/03/2020	Fred Saylor	Yes	11/04/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-10-28-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-6 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-7 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-8 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-9 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-10 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-11 ASTM A370-15 (Verified)
DIME Test ID: 2020-10-28-1-12 ASTM A370-15 (Verified)