DIME - Sample Record for DIME Sample ID 2021-08-19-3

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Sample Record

Owner Lab

CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-08-19-3

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Project Information

Project Identifiers	Project ID: 214175 DEA: 030H4804 EFIS: 0315000198
DIST-CO-RTE-PM	03-SAC-99-0.1/1.6,11.8/21.6
Award Date	08/20/2019
Closeout Date	08/11/2023
Work Description	COLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location Description	SACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
QA Service Level	1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date	08/19/2021	Sample Unique Key	3
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	08/24/2021
Sample type	Quality Assurance	A brief description of the sample	1" F436 Flat Washer
The quantity of what the sample constitutes	3500	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	B390-128-21	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)	NA
Heat Number(s)	214483	Nut Mfg. Lot Number(s)	NA
Washer Mfg. Lot Number(s)	14310	Bolt Specification	NA
Bolt Length(s)	NA	Nut Specification	NA
Washer Specification	F436	Finish	Hot Dip Galvanize
Diameter/Size	1.0"	Bolt Mfg. Lot Number	NA
Rocap Test Requirement(s)	NA	Lubricant Requirements(s)	NA

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2021-08-19-3-1	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-2	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-3	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-4	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-5	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-6	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-7	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-8	ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-9	ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021
2021-08-19-3-10	ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)	Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory	08/31/2021	Steven Paine	Yes	09/01/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-08-19-3-1 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-2 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-3 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-4 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-5 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-6 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-7 ASTM B499-14 (Verified)
DIME Test ID: 2021-08-19-3-8 ASTM E18-15 (Verified)
DIME Test ID: 2021-08-19-3-9 ASTM E18-15 (Verified)
DIME Test ID: 2021-08-19-3-10 ASTM E18-15 (Verified)
DIME Test ID: 2021-08-19-3-11 ASTM E18-15 (Verified)