Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-09-23-14
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215394 DEA: 031H8604 EFIS: 0317000010 |
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DIST-CO-RTE-PM | 03-BUT-99-29.3/T37.8 |
Award Date | 03/08/2021 |
Closeout Date | 07/07/2023 |
Work Description | INSTALL FIBER OPTIC CABLE SYSTEMS & TRAFFIC MGMT SYSTEM ELEMENTS. |
Location Description | BUTTE COUNTY IN AND NEAR CHICO AT VARIOUS LOCATIONS FROM SOUTHGATE AVENUE TO GARNER LANE |
QA Service Level | 1 (Verified on 01/18/2021) |
Sample Information
Sample Taken Date | 09/23/2021 | Sample Unique Key | 14 |
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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 | 09/23/2021 |
Sample type | Quality Assurance | A brief description of the sample | 1-1/2" Anchor Bolt HDG |
The quantity of what the sample constitutes | 13 | 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 | 3854470624 |
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 | B390-166-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
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Heat Number(s) | 30811122 | Nut Mfg. Lot Number(s) | na |
Washer Mfg. Lot Number(s) | na | Bolt Specification | F1554 -55 |
Bolt Length(s) | 4-10" | Nut Specification | na |
Washer Specification | na | Finish | HDG |
Diameter/Size | 1-1/2"" | Bolt Mfg. Lot Number | 3081122 |
Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-09-23-14-1 ASTM A370-15 (Verified)
DIME Test ID: 2021-09-23-14-2 ASTM A370-15 (Verified)
DIME Test ID: 2021-09-23-14-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-09-23-14-4 ASTM B499-14 (Verified)