Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-09-09-6
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 |
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DIST-CO-RTE-PM | 04-MRN-101-8.4 |
Award Date | 11/30/2020 |
Closeout Date | 12/12/2023 |
Work Description | CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/06/2020) |
Sample Information
Sample Taken Date | 09/09/2021 | Sample Unique Key | 6 |
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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 | 09/13/2021 |
Sample type | Quality Assurance | A brief description of the sample | High Strength Fastener Assemblies |
The quantity of what the sample constitutes | 84 fastener assemblies | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Lara |
Title of sampler | QA Inspector | Telephone number of sampler | 6106624557 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Pacific Bolt | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B391-004-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Bolt - 62151682-04 Nut - 190004 Washer - 11946910 | Nut Mfg. Lot Number(s) | 30184-190004 |
Washer Mfg. Lot Number(s) | 0120-343 | Bolt Specification | A325 |
Bolt Length(s) | 12" | Nut Specification | A194 |
Washer Specification | F436 | Finish | plain |
Diameter/Size | 1" diameter | Bolt Mfg. Lot Number | 54128 |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-09-09-6-1 ASTM F606-14a (Verified)
DIME Test ID: 2021-09-09-6-3 ASTM F606-14a (Verified)
DIME Test ID: 2021-09-09-6-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-09-6-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-09-6-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-09-6-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-09-6-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-09-6-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-09-6-10 ASTM E18-15 (Verified)
DIME Test ID: 2021-09-09-6-11 ASTM E18-15 (Verified)