Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-11-30-19
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214402 DEA: 010E7704 EFIS: 0115000009 |
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DIST-CO-RTE-PM | 01-HUM-101-R17.9/87.8 |
Award Date | 01/21/2020 |
Closeout Date | 07/21/2023 |
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 | 11/30/2021 | Sample Unique Key | 19 |
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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 | 12/16/2021 |
Sample type | Quality Assurance | A brief description of the sample | 38 F1554 HS Rods with 2 nuts and 2 washers each |
The quantity of what the sample constitutes | 38 F1554 gr 105HS rods | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
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 | B9-141-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | C153530 | Nut Mfg. Lot Number(s) | 450561B |
Washer Mfg. Lot Number(s) | 0921-953 | Bolt Specification | F1554 gr 105 s4 |
Bolt Length(s) | 11 1/2 | Nut Specification | A194 gr 2H |
Washer Specification | F436 Type 1 | Finish | HDG |
Diameter/Size | 1" | Bolt Mfg. Lot Number | 9688 |
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: 2021-11-30-19-1 ASTM F606-21 (Verified)
DIME Test ID: 2021-11-30-19-2 ASTM F606-21 (Verified)
DIME Test ID: 2021-11-30-19-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2021-11-30-19-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2021-11-30-19-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2021-11-30-19-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2021-11-30-19-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2021-11-30-19-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2021-11-30-19-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2021-11-30-19-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2021-11-30-19-11 ASTM E18-20 (Verified)
DIME Test ID: 2021-11-30-19-12 ASTM E18-20 (Verified)