Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-03-21-4
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214099 DEA: 024F5904 EFIS: 0213000010 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-5-R25.4 |
| Award Date | 07/08/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | BRIDGE SEISMIC RETROFIT AND SCOUR REPAIR. |
| Location Description | TEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE |
| QA Service Level | 1 (Verified on 05/07/2019) |
Sample Information
| Sample Taken Date | 03/21/2022 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 7/8" x 5 1/2" A449 HDG all thread rod with nuts and washers |
| The quantity of what the sample constitutes | 57 fastener assemblies | 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 | C&K Johnson | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-036-22 | Structure unique identifier | 08-0095 R/L |
| Structure name | Sacramento River Bridge- I5 |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 10707140 bar nut- 35213 washer 0721-890 | Nut Mfg. Lot Number(s) | 35213 |
| Washer Mfg. Lot Number(s) | 0721-890 | Bolt Specification | A449 |
| Bolt Length(s) | 5 1/2" | Nut Specification | A563 dh |
| Washer Specification | F436 | Finish | HDGalv |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | 10707140 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | yes |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||