Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2021-04-21-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date04/21/2021 Sample Unique Key6
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 testing04/26/2021
Sample typeAcceptance A brief description of the sample1inch F1554 Gr36 Anchor Rod
The quantity of what the sample constitutes6 From where was the sample collectedFabricator
First name of sampler or witnessed byKevin Last name of sampler or witnessed byMuser
Title of samplerQA Telephone number of sampler9165170532
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameThompson Metal Fab Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS19-055-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1202025845 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationF1554 Gr 36
Bolt Length(s)43" Nut SpecificationN/A
Washer SpecificationN/A FinishHDG
Diameter/Size1 Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)No Lubricant Requirements(s)No

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-21-6-1ASTM 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)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/27/2021fsaylor
Yes
04/28/2021F1554 With Welded Nut Washer Plate
2021-04-21-6-2ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/27/2021Fred Saylor
Yes
04/28/2021
2021-04-21-6-3ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory04/27/2021Fred Saylor
Yes
04/28/2021