Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-01-12-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214029
DEA: 07301104
EFIS: 0714000009
DIST-CO-RTE-PM07-LA-60,710-710-R2.8/11.8, 24.1/25.1
Award Date06/03/2019
Closeout DateNot set
Work DescriptionRoadway ex, place jointed plain concrete pavement & concrete barrieres
Location DescriptionIn 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 Level1 (Verified on 06/25/2019)

Sample Information

Sample Taken Date01/12/2021 Sample Unique Key3
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 testing01/14/2021
Sample typeQuality Assurance A brief description of the sampleF436 Flat WASHER
The quantity of what the sample constitutes4200 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of samplerCT METS QA INSPECTOR Telephone number of sampler1-385-447-0624
Laboratory sample identificationna Linked DIME Sample IDna
The fabricator/manufacturer/facility nameUniversal Industrial Sales Inc Transportation Laboratory (TL) Numberna
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-004-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)NA
Heat Number(s)B56002 Nut Mfg. Lot Number(s)NA
Washer Mfg. Lot Number(s)D9458 Bolt SpecificationNA
Bolt Length(s)NA Nut SpecificationNA
Washer SpecificationF436 FinishHDG
Diameter/Size0.75" Bolt Mfg. Lot NumberNA
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-12-3-11ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Steven PaineCT HQ - Sacramento Structural Materials Testing Laboratory01/20/2021Steven Paine
Yes
01/25/2021