Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2021-02-01-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-0.0/21.8 |
| Award Date | 12/03/2019 |
| Closeout Date | 09/28/2022 |
| Work Description | San Mateo US 101 Express Lanes North |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 02/01/2021 | Sample Unique Key | 8 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 3 sets, each set is one 2.25" rod, 1 2.25" galvanized nut, 1 2.25" black nut and 2.25" washer |
| The quantity of what the sample constitutes | 3 sets . sampled remotely | From where was the sample collected | Other |
| First name of sampler or witnessed by | Frederic | Last name of sampler or witnessed by | Aboujaoude |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Madden Bolts | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L147-001-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 58043509 | Nut Mfg. Lot Number(s) | DECC |
| Washer Mfg. Lot Number(s) | M040606 | Bolt Specification | F1554, Grade 55 |
| Bolt Length(s) | Nut Specification | ASTM 563 and ASTM A194, Grade 2H | |
| Washer Specification | flat washer, ASTM 436 | Finish | HDG |
| Diameter/Size | 2.25" | Bolt Mfg. Lot Number | |
| 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 | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||