Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-03-15-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 |
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DIST-CO-RTE-PM | 01-MEN-20-33.3/34.4 |
Award Date | 05/06/2022 |
Closeout Date | Not set |
Work Description | CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310) |
Location Description | MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144 |
QA Service Level | 1 (Verified on 10/04/2021) |
Sample Information
Sample Taken Date | 03/15/2023 | Sample Unique Key | 1 |
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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 | 03/21/2023 |
Sample type | Quality Control | A brief description of the sample | 5/8x3-1/2 assembly |
The quantity of what the sample constitutes | 55 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Oscar | Last name of sampler or witnessed by | Vizcaino |
Title of sampler | Telephone number of sampler | 16787558969 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | St Louis Screw and Bolt | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B378-009-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | TT0162967 |
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Heat Number(s) | 10434800, 5804907405, 219376 and 10589380 | Nut Mfg. Lot Number(s) | 36449-5804907405 |
Washer Mfg. Lot Number(s) | 19382 | Bolt Specification | A325-1 |
Bolt Length(s) | 3-1/2" | Nut Specification | A563-DH |
Washer Specification | F436-1, Steel 1060 | Finish | Mech Galv. |
Diameter/Size | 5/8" | Bolt Mfg. Lot Number | M5478 |
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: 2023-03-15-1-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-03-15-1-2 ASTM F606-21 (Verified)
DIME Test ID: 2023-03-15-1-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-15-1-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-15-1-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-12 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-15-1-13 ASTM E18-20 (Verified)
DIME Test ID: 2023-03-15-1-14 ASTM E18-20 (Verified)