Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-01-28-13
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
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DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
Award Date | 04/21/2020 |
Closeout Date | Not set |
Work Description | Panther Creek & Hunter Creek Bridges |
Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
Sample Taken Date | 01/28/2021 | Sample Unique Key | 13 |
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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 | 02/08/2021 |
Sample type | Quality Assurance | A brief description of the sample | 1” x 5-1/2” bolt with washer and nut |
The quantity of what the sample constitutes | 20 assemblies | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Rex | Last name of sampler or witnessed by | Harrison |
Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 904-238-8258 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Acrow Bridge | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Temporary Modular Bridge |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | AB547AS |
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Heat Number(s) | Nut Mfg. Lot Number(s) | ||
Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F3125 Grade A325 | |
Bolt Length(s) | 5-1/2" | Nut Specification | ASTM A563 Grade DH |
Washer Specification | ASTM F436 | Finish | HDG ASTM A153 |
Diameter/Size | 1" | Bolt Mfg. Lot Number | |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-01-28-13-1 ASTM F606-14a (Verified)
DIME Test ID: 2021-01-28-13-2 ASTM F606-14a (Verified)
DIME Test ID: 2021-01-28-13-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-01-28-13-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-01-28-13-5 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-28-13-6 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-28-13-7 ASTM B499-14 (Verified)
DIME Test ID: 2021-01-28-13-8 ASTM E18-15 (Verified)