Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-09-20-9
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 993715 DEA: 010G1404 EFIS: 0116000129 |
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DIST-CO-RTE-PM | 01-HUM-96,169-VAR |
Award Date | 11/16/2022 |
Closeout Date | Not set |
Work Description | HUM 96-169 5 Bridges Rail Upgrade (Do not include in project name: STRUCTURAL STEEL, CONCRETE BARRIER, POLYESTER CONCRETE OVERLAY) |
Location Description | HUMBOLDT COUNTY ON ROUTES 96 AND 169 AT VARIOUS LOCATIONS (Bridge Nos. 04-0215, 04-0059, 04-0063, 04-0225, 04-0061) |
QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
Sample Taken Date | 09/20/2023 | Sample Unique Key | 9 |
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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 | 09/25/2023 |
Sample type | Quality Assurance | A brief description of the sample | F3125 Bolt |
The quantity of what the sample constitutes | 85 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Duben | Last name of sampler or witnessed by | Duckworth |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CK Johnson Industries | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S84-137-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 1000119545 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | Bolt Specification | A325 | |
Bolt Length(s) | 3-3/4 | Nut Specification | NA |
Washer Specification | NA | Finish | HDG |
Diameter/Size | 1 | Bolt Mfg. Lot Number | W000046813 |
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: 2023-09-20-9-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-09-20-9-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-09-20-9-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-09-20-9-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-09-20-9-5 ASTM B499-09r21 (Verified)