Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2021-04-27-6

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 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 testing04/27/2021
Sample typeQuality Assurance A brief description of the sampleA563 DH Anchor Bolt Hardware
The quantity of what the sample constitutes540 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)201549 Nut Mfg. Lot Number(s)DECO
Washer Mfg. Lot Number(s)na Bolt Specificationna
Bolt Length(s)na Nut SpecificationA563-DH
Washer Specificationna FinishHDG
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
2021-04-27-6-1ASTM 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 Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-6-2ASTM 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 Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-6-3ASTM 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 Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-6-4ASTM 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 Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-6-5ASTM 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 Laboratory05/07/2021Fred Saylor
Yes
05/20/2021
2021-04-27-6-6ASTM 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
2021-04-27-6-7ASTM 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
2021-04-27-6-8ASTM 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