Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2021-04-27-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214858
DEA: 11424904
EFIS: 1116000094
DIST-CO-RTE-PM11-SD-5,8,15,52,54-Var
Award DateNot set
Closeout DateNot set
Work DescriptionInstall roadside signs.
Location Description11-SD-5, 8, 15, 52, 54, etc.-Var.
QA Service Level1 (Verified on 11/30/2020)

Sample Information

Sample Taken Date04/27/2021 Sample Unique Key5
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 testing04/27/2021
Sample typeQuality Assurance A brief description of the sampleA563 DH Anchor Bolt Hardware
The quantity of what the sample constitutes810 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of samplerCT METS QA INSPECTOR Telephone number of sampler385-447-0624
Laboratory sample identificationna Linked DIME Sample IDna
The fabricator/manufacturer/facility nameUniversal Industrial Sales Inc Transportation Laboratory (TL) Numberna
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-052-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)201548 Nut Mfg. Lot Number(s)DECN
Washer Mfg. Lot Number(s)na Bolt Specificationna
Bolt Length(s)na Nut SpecificationA563-DH
Washer Specificationna FinishPlain
Diameter/Size2-1/2" Bolt Mfg. Lot Numberna
Rocap Test Requirement(s)na Lubricant Requirements(s)na

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-27-5-1ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-5-2ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-5-3ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/07/2021Fred Saylor
Yes
05/20/2021