Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2017-12-14-13
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Project Information
| Project Identifiers | Project ID: 211796 DEA: 073X8704 EFIS: 0713000241 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-105,405-R2.5,20.5/R21.1 |
| Award Date | 12/29/2016 |
| Closeout Date | 04/08/2020 |
| Work Description | SLOPE RECONSTRUCTION AND PAVEMENT REPAIR |
| Location Description | LOS ANGELES COUNTY IN AND NEAR HAWTHORNE FROM EL SEGUNDO BOULEVARD UNDERCROSSING TO ROUTE 105/405 SEPARATION |
| QA Service Level | 1 (Verified on 03/14/2017) |
Sample Information
| Sample Taken Date | 12/14/2017 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 12/21/2017 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Rods |
| The quantity of what the sample constitutes | 67 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Lanz |
| Title of sampler | QA | Telephone number of sampler | 707 208-5241 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Structural and Steel Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L106-024-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
|---|---|---|---|
| Heat Number(s) | Bolt 58031133 HDG NUT A164716 Plain NUT 3068895 Washer 265467 | Nut Mfg. Lot Number(s) | AmeriBolt, HDG W3017 Plain W3538 |
| Washer Mfg. Lot Number(s) | Wrought Washer, 299014 | Bolt Specification | F1554-GR 55 |
| Bolt Length(s) | 60" | Nut Specification | A563 DH |
| Washer Specification | F436 | Finish | HDG one end |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | GERDAU, NA |
| Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | WAX on Galvanized |
| Washer Inner Diameter(s) |
Submitted Tests
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Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-12-14-13-1 ASTM A370-15 (Verified)
DIME Test ID: 2017-12-14-13-2 ASTM A370-15 (Verified)
DIME Test ID: 2017-12-14-13-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-13-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-13-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-12-14-13-6 ASTM B499-14 (Verified)
DIME Test ID: 2017-12-14-13-7 ASTM B499-14 (Verified)
DIME Test ID: 2017-12-14-13-8 ASTM B499-14 (Verified)
DIME Test ID: 2017-12-14-13-9 ASTM E18-15 (Verified)
DIME Test ID: 2017-12-14-13-10 ASTM E18-15 (Verified)
DIME Test ID: 2017-12-14-13-11 ASTM E18-15 (Verified)