Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-04-27-5
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Project Information
| Project Identifiers | Project ID: 214858 DEA: 11424904 EFIS: 1116000094 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5,8,15,52,54-Var |
| Award Date | 05/13/2020 |
| Closeout Date | 09/14/2023 |
| Work Description | Install roadside signs. |
| Location Description | 11-SD-5, 8, 15, 52, 54, etc.-Var. |
| QA Service Level | 1 (Verified on 11/30/2020) |
Sample Information
| Sample Taken Date | 04/27/2021 | 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 | 04/27/2021 |
| Sample type | Quality Assurance | A brief description of the sample | A563 DH Anchor Bolt Hardware |
| The quantity of what the sample constitutes | 810 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 385-447-0624 |
| Laboratory sample identification | na | Linked DIME Sample ID | na |
| The fabricator/manufacturer/facility name | Universal Industrial Sales Inc | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-052-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 201548 | Nut Mfg. Lot Number(s) | DECN |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | na |
| Bolt Length(s) | na | Nut Specification | A563-DH |
| Washer Specification | na | Finish | Plain |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-27-5-1 ASTM E18-15 (Verified)
DIME Test ID: 2021-04-27-5-2 ASTM E18-15 (Verified)
DIME Test ID: 2021-04-27-5-3 ASTM E18-15 (Verified)