Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-11-18-20
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-0.0/21.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Barrier modifications, overhead signs, freeway lighting and electronic toll system components |
| Location Description | SANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE |
| QA Service Level | 1 (Verified on 02/21/2020) |
Sample Information
| Sample Taken Date | 11/18/2020 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 11/24/2020 |
| Sample type | Quality Assurance | A brief description of the sample | A325 Bolt Assemblies |
| The quantity of what the sample constitutes | 28 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Riley |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Nucor Unytite | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | NF15103239 100201802 100201805 100898066 6213796404 NF15201353 DL19105173 75070238 | Nut Mfg. Lot Number(s) | 431190A 27724-75070238 |
| Washer Mfg. Lot Number(s) | 317500 D4382 | Bolt Specification | A325 |
| Bolt Length(s) | 1.25" 2" 2.25" 2.5" 4" 4.25" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | MG |
| Diameter/Size | .5" .75" 1.5" | Bolt Mfg. Lot Number | 368068A 430804A 430807A 427929B 21412- |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |