Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-02-10-4
Project Information
Project Identifiers | Project ID: 213406 DEA: 030F2504 EFIS: 0300000075 |
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DIST-CO-RTE-PM | 03-YOL,SAC-80-R11.1/R11.7,M0.0/M0.5 |
Award Date | 08/21/2020 |
Closeout Date | 07/31/2023 |
Work Description | SAC RIVER BOH (BRYTE BEND) |
Location Description | SACRAMENTO AND YOLO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO FROM 0.1 MILE WEST OF REED AVENUE UNDERCROSSING TO 0.1 MILE EAST OF SACRAMENTO RIVER BRIDGE AND OVERHEAD |
QA Service Level | 1 (Verified on 06/07/2018) |
Sample Information
Sample Taken Date | 02/10/2021 | Sample Unique Key | 4 |
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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 | 5/8" F436 Washers |
The quantity of what the sample constitutes | 16,689 washers | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
Title of sampler | QA Inspector | Telephone number of sampler | 646-740-3704 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CK Johnson | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-150-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 443696A and 448446A |
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Heat Number(s) | B57380 | Nut Mfg. Lot Number(s) | N/A |
Washer Mfg. Lot Number(s) | E0076 | Bolt Specification | N/A |
Bolt Length(s) | N/A | Nut Specification | N/A |
Washer Specification | ASTM F436 | Finish | ASTM F2329 AND A153 HDG |
Diameter/Size | 5/8" | Bolt Mfg. Lot Number | N/A |
Rocap Test Requirement(s) | YES | Lubricant Requirements(s) |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |