Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-08-21-1
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 08/21/2024 | 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 | 08/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Bolt Assembly Threaded Bothe Ends with Plain and Galvanized Nuts |
| The quantity of what the sample constitutes | 25 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 5624420352 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Madden Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-076-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 5806077905, 234713, 136050, 202001 | Nut Mfg. Lot Number(s) | 40292-234713, 34465-202001 |
| Washer Mfg. Lot Number(s) | 0124-998 | Bolt Specification | ASTM F1554 Grade 55 |
| Bolt Length(s) | 67" | Nut Specification | ASTM A194 HHN ASTM A563 DH |
| Washer Specification | ASTM F436 Washer | Finish | HDG / PLAIN |
| Diameter/Size | 1 1/2" | 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: 2024-08-21-1-1 ASTM F606-21 (Verified)
DIME Test ID: 2024-08-21-1-2 ASTM A370-20 (Verified)
DIME Test ID: 2024-08-21-1-3 ASTM A370-20 (Verified)
DIME Test ID: 2024-08-21-1-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-08-21-1-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-08-21-1-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-08-21-1-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-08-21-1-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-08-21-1-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-08-21-1-10 ASTM E18-20 (Verified)
DIME Test ID: 2024-08-21-1-11 ASTM E18-20 (Verified)