Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-04-12-1
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 | 04/12/2023 | 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 | 04/17/2023 |
Sample type | Quality Assurance | A brief description of the sample | ASTM F436 Washer |
The quantity of what the sample constitutes | 55 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
Title of sampler | ASI | Telephone number of sampler | 9167987102 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | St. Louis Screw & Bolt | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S51-412-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
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Heat Number(s) | B57380 | Nut Mfg. Lot Number(s) | N/A |
Washer Mfg. Lot Number(s) | E0076 | Bolt Specification | N/A |
Bolt Length(s) | N/A | Nut Specification | N/A |
Washer Specification | ASTM F436 | Finish | HDG |
Diameter/Size | 5/8" | Bolt Mfg. Lot Number | N/A |
Rocap Test Requirement(s) | no | Lubricant Requirements(s) | no |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-04-12-1-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-04-12-1-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-04-12-1-3 ASTM E18-20 (Verified)
DIME Test ID: 2023-04-12-1-4 ASTM E18-20 (Verified)