DIME - Sample Record for DIME Sample ID 2021-04-21-5

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Sample Record

Owner Lab

CT HQ - QASI Sacramento Field Office

DIME Sample ID 2021-04-21-5

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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

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2021-04-21-5-1	ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)	fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	fsaylor	Yes	04/28/2021	F1554 With Welded Nut Washer Plate
2021-04-21-5-2	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	Fred Saylor	Yes	04/28/2021
2021-04-21-5-3	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	Fred Saylor	Yes	04/28/2021
2021-04-21-5-4	ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	Fred Saylor	Yes	04/28/2021
2021-04-21-5-5	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	Fred Saylor	Yes	04/28/2021
2021-04-21-5-6	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	Fred Saylor	Yes	04/28/2021
2021-04-21-5-7	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory	04/27/2021	Fred Saylor	Yes	04/28/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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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)