Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-11-04-7
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214402 DEA: 010E7704 EFIS: 0115000009 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-R17.9/87.8 |
| Award Date | 01/21/2020 |
| Closeout Date | Not set |
| Work Description | STRENGTHEN 2 BRIDGES. |
| Location Description | HUMBOLDT COUNTY AT SOUTH FORK EEL RIVER AND SEPARATION AND AT ARCATA OVERHEAD |
| QA Service Level | 1 (Verified on 09/16/2019) |
Sample Information
| Sample Taken Date | 11/04/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 11/04/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4-10x21/2F3125A325 |
| The quantity of what the sample constitutes | 683 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 916-826-6371 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CK Johnson Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-114-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 19954 |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | 448953B | |
| Washer Mfg. Lot Number(s) | E0573 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 2 1/2" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 3/4-10x21/2 | Bolt Mfg. Lot Number | E005B1 |
| Rocap Test Requirement(s) | Yes | Lubricant Requirements(s) | No |