Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-01-12-2
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Project Information
| Project Identifiers | Project ID: 214029 DEA: 07301104 EFIS: 0714000009 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60,710-710-R2.8/11.8, 24.1/25.1 |
| Award Date | 06/03/2019 |
| Closeout Date | Not set |
| Work Description | Roadway ex, place jointed plain concrete pavement & concrete barrieres |
| Location Description | In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation. |
| QA Service Level | 1 (Verified on 06/25/2019) |
Sample Information
| Sample Taken Date | 01/12/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 01/14/2021 |
| Sample type | Quality Assurance | A brief description of the sample | F436 Flat washer |
| The quantity of what the sample constitutes | 1800 | 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 Inc | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-004-21 | Structure unique identifier | |
| Structure name | NA |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
|---|---|---|---|
| Heat Number(s) | X4164 | Nut Mfg. Lot Number(s) | NA |
| Washer Mfg. Lot Number(s) | D8592 | Bolt Specification | NA |
| Bolt Length(s) | NA | Nut Specification | NA |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 0.75" | Bolt Mfg. Lot Number | NA |
| Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-01-12-2-1 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-12-2-2 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-12-2-3 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-12-2-4 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-12-2-5 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-12-2-6 ASTM E18-15 (Verified)
DIME Test ID: 2021-01-12-2-7 ASTM E18-15 (Verified)
DIME Test ID: 2021-01-12-2-8 ASTM E18-15 (Verified)