Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-04-09-11
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 | 04/09/2024 | Sample Unique Key | 11 |
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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 | 04/12/2024 |
Sample type | Quality Assurance | A brief description of the sample | F436 DH HDG |
The quantity of what the sample constitutes | 2,494 Washers | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Doe |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | (916) 838-4405 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | C&K Johnson Industries | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S50-015-24 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | W000105254R, E016N1R, W000105296R |
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Heat Number(s) | 228035 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | E4342 | Bolt Specification | ASTM A325 |
Bolt Length(s) | Nut Specification | ASTM A563 | |
Washer Specification | ASTM F436 | Finish | ASTM F2329 |
Diameter/Size | 1" | Bolt Mfg. Lot Number | |
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: 2024-04-09-11-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-04-09-11-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-04-09-11-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-04-09-11-4 ASTM E18-20 (Verified)
DIME Test ID: 2024-04-09-11-5 ASTM E18-20 (Verified)
DIME Test ID: 2024-04-09-11-6 ASTM E18-20 (Verified)