Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-03-17-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 03/17/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 7/8 fastener assemblies |
| The quantity of what the sample constitutes | 16 pcs | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Foerder |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt Manufacturing | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 79003341, 100109179, 212958, 7011, 32028550 | Nut Mfg. Lot Number(s) | 35978-212958 7011 |
| Washer Mfg. Lot Number(s) | 167117 | Bolt Specification | ASTM A449 |
| Bolt Length(s) | Nut Specification | ASTM A563 | |
| Washer Specification | ASTM F436-11 | Finish | ASTM F2329 |
| Diameter/Size | 7/8 | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| 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: 2023-03-17-1-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-03-17-1-2 ASTM F606-21 (Verified)
DIME Test ID: 2023-03-17-1-3 ASTM F606-21 (Verified)
DIME Test ID: 2023-03-17-1-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-17-1-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-17-1-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-17-1-7 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-17-1-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-17-1-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-17-1-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-17-1-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-17-1-12 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-03-17-1-13 ASTM E18-20 (Verified)
DIME Test ID: 2023-03-17-1-14 ASTM E18-20 (Verified)
