DIME - Sample Record for DIME Sample ID 2021-10-20-21

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Sample Record

Owner Lab

CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-10-20-21

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Project Information

Project Identifiers	Project ID: 213521 DEA: 050L7234 EFIS: 0515000099
DIST-CO-RTE-PM	05-SLO-58-3.08
Award Date	06/25/2020
Closeout Date	08/23/2023
Work Description	TROUT CREEK BRIDGE REPLACEMENT
Location Description	IN SAN LUIS OBISPO COUNTY ON HWY 58 EAST OF SANTA MARGARITA AT TROUT CREEK BRIDGE (BR NO. 49-0091).
QA Service Level	1 (Verified on 09/30/2019)

Sample Information

Sample Taken Date	10/20/2021	Sample Unique Key	21
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	10/20/2021
Sample type	Quality Assurance	A brief description of the sample	A449 ATR with Coupling Nut
The quantity of what the sample constitutes	1	From where was the sample collected	Job Site
First name of sampler or witnessed by	Alex	Last name of sampler or witnessed by	Martinez
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	BSMI	Transportation Laboratory (TL) Number	C918914
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)
Heat Number(s)	10648850	Nut Mfg. Lot Number(s)	S01210302H
Washer Mfg. Lot Number(s)		Bolt Specification	None
Bolt Length(s)		Nut Specification	A563 Coupling Nut
Washer Specification	None	Finish	F2329
Diameter/Size		Bolt Mfg. Lot Number	2103153-20
Rocap Test Requirement(s)		Lubricant Requirements(s)

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2021-10-20-21-1	ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)	fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory	10/22/2021	fsaylor	Yes	10/26/2021	Nut Broke in Half

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-10-20-21-1 ASTM F606-14 (Verified)