Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-11-30-16
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Project Information
| Project Identifiers | Project ID: 214991 DEA: 044G2104 EFIS: 0412000310 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-121-0.5/1 |
| Award Date | 05/19/2021 |
| Closeout Date | Not set |
| Work Description | WIDEN ROADWAY WITH HMA & REPLACE CULVERT WITH STRUCTURAL CONC BRIDGE. |
| Location Description | NAPA COUNTY NEAR NAPA FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF HUICHICA CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 11/30/2021 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 12/20/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Bolt hardware |
| The quantity of what the sample constitutes | 8 | 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 | B390-229-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 20695950 | Nut Mfg. Lot Number(s) | na |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | A449 |
| Bolt Length(s) | 20" | Nut Specification | na |
| Washer Specification | na | Finish | HDG |
| Diameter/Size | 1.0" | Bolt Mfg. Lot Number | 33490 |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | none |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-30-16-1 ASTM F606-14 (Verified)
DIME Test ID: 2021-11-30-16-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2021-11-30-16-3 ASTM B499-14 (Verified)