Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-07-20-50
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994090 DEA: 01434804 EFIS: 0100000672 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-1-62.0/62.3 |
| Award Date | 10/21/2022 |
| Closeout Date | Not set |
| Work Description | Pudding Creek Bridge Widening |
| Location Description | MENDOCINO COUNTY IN FORT BRAGG FROM ELM STREET TO PUDDING CREEK ROAD 421 |
| QA Service Level | 1 (Verified on 07/11/2022) |
Sample Information
| Sample Taken Date | 07/20/2023 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 08/02/2023 |
| Sample type | Quality Assurance | A brief description of the sample | fastener Assembly |
| The quantity of what the sample constitutes | 34 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Will | Last name of sampler or witnessed by | Cudney |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt | Transportation Laboratory (TL) Number | C928680 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 5394187 | Nut Mfg. Lot Number(s) | W000044824 |
| Washer Mfg. Lot Number(s) | Bolt Specification | A449 HDG | |
| Bolt Length(s) | 34 | Nut Specification | 1.25 GR DH HVY HEX |
| Washer Specification | NA | Finish | |
| Diameter/Size | 1.25 | Bolt Mfg. Lot Number | 5394187 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
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. | |||