Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-10-17-46
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
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DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
Award Date | 07/11/2022 |
Closeout Date | Not set |
Work Description | Dr. Fine Bridge Replacement |
Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
Sample Taken Date | 10/17/2023 | Sample Unique Key | 46 |
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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 | 10/26/2023 |
Sample type | Verification | A brief description of the sample | Extra washers for AB549A bolts |
The quantity of what the sample constitutes | 102 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Acrow | Transportation Laboratory (TL) Number | |
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) | |
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Heat Number(s) | NA | Nut Mfg. Lot Number(s) | NA |
Washer Mfg. Lot Number(s) | WASHERS | Bolt Specification | NA |
Bolt Length(s) | NA | Nut Specification | NA |
Washer Specification | ASTM F436 | Finish | HDG |
Diameter/Size | Bolt Mfg. Lot Number | NA | |
Rocap Test Requirement(s) | No | Lubricant Requirements(s) | Yes |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-10-17-46-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-10-17-46-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-10-17-46-3 ASTM E18-20 (Verified)
DIME Test ID: 2023-10-17-46-4 ASTM E18-20 (Verified)