Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-04-21-5
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | Not set |
| Work Description | BRIDGE REPLACEMENT |
| 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 | 04/21/2021 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/26/2021 |
| Sample type | Acceptance | A brief description of the sample | 1inch F1554 Gr36 Anchor Rod |
| The quantity of what the sample constitutes | 64 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 9165170532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Thompson Metal Fab | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-055-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 1202027710 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | F1554 Gr 36 | |
| Bolt Length(s) | Nut Specification | N/A | |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 1 | Bolt Mfg. Lot Number | 120202771061 |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-21-5-1 ASTM F606-14 (Verified)
DIME Test ID: 2021-04-21-5-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-04-21-5-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-04-21-5-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-04-21-5-5 ASTM B499-14 (Verified)
DIME Test ID: 2021-04-21-5-6 ASTM B499-14 (Verified)
DIME Test ID: 2021-04-21-5-7 ASTM B499-14 (Verified)