Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-12-03-3
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Project Information
| Project Identifiers | Project ID: 215371 DEA: 042W1204 EFIS: 0421000139 |
|---|---|
| DIST-CO-RTE-PM | 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5 |
| Award Date | 01/11/2020 |
| Closeout Date | 09/06/2022 |
| Work Description | REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS |
| Location Description | Richmond San Rafael Bridge |
| QA Service Level | 1 (Verified on 12/14/2020) |
Sample Information
| Sample Taken Date | 12/03/2021 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 12/03/2021 |
| Sample type | Quality Assurance | A brief description of the sample | HS Bolt Assembly |
| The quantity of what the sample constitutes | 61 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Couch |
| Title of sampler | METS Rep | Telephone number of sampler | 5304170632 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | LeJeune Bolt Company | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Richmond San Rafael Bridge |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | X4168 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | D9196 | Bolt Specification | na |
| Bolt Length(s) | Nut Specification | na | |
| Washer Specification | F436 | Finish | Geomet |
| Diameter/Size | 1-1/8 diam | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-03-3-1 ASTM B499-14 (Verified)
DIME Test ID: 2021-12-03-3-2 ASTM B499-14 (Verified)
DIME Test ID: 2021-12-03-3-3 ASTM B499-14 (Verified)
DIME Test ID: 2021-12-03-3-4 ASTM E18-15 (Verified)
DIME Test ID: 2021-12-03-3-5 ASTM E18-15 (Verified)