Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-02-22-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215317 DEA: 101J0104 EFIS: 1018000079 |
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DIST-CO-RTE-PM | 10-CAL,CAL-88,34-34.6/2.2 |
Award Date | 05/19/2022 |
Closeout Date | 11/16/2023 |
Work Description | Construct fuel island canopies. |
Location Description | In Calaveras and Alpine counties on Route 26 at the West Point Maintenance Station and on Route 88 at the Caples Lake Maintenance Station. |
QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
Sample Taken Date | 02/22/2023 | Sample Unique Key | 5 |
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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 | 02/23/2023 |
Sample type | Department Acceptance | A brief description of the sample | 5/8 Nuts |
The quantity of what the sample constitutes | 29 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
Title of sampler | QA | Telephone number of sampler | 916 517-0532 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CK Johnson | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-052-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
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Heat Number(s) | 1000113771 | Nut Mfg. Lot Number(s) | 474378C |
Washer Mfg. Lot Number(s) | Bolt Specification | na | |
Bolt Length(s) | Nut Specification | A563 | |
Washer Specification | na | Finish | hdg |
Diameter/Size | 5/8 | Bolt Mfg. Lot Number | |
Rocap Test Requirement(s) | no | 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: 2023-02-22-5-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-02-22-5-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-02-22-5-3 ASTM B499-09r21 (Verified)