Sample Record

DIME Sample ID 2024-10-07-2

Project Information

Project IdentifiersProject ID: 995448
DEA: 07316804
EFIS: 0715000220
DIST-CO-RTE-PM07-LA-10S-28.3
Award Date01/26/2024
Closeout Date06/26/2026
Work DescriptionREPLACE BRIDGE DECK.
Location DescriptionLOS ANGELES COUNTY IN EL MONTE AT RIO HONDO BUSWAY BRIDGE
QA Service Level1 (Verified on 01/22/2024)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/07/2024 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeVerification
A brief description of the sampleanchor bolt assembly The quantity of what the sample constitutes240
From where was the sample collectedOther First name of sampler or witnessed byBria
Last name of sampler or witnessed byMurray Title of samplerQA Inspector
Telephone number of sampler5624420352 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePowell Construction
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL140-084-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)E804K1
Washer Mfg. Lot Number(s) 218553 Bolt SpecificationASTM F1554 Grade 105
Bolt Length(s)16.5" Nut SpecificationASTM A563-DH
Washer SpecificationASTM F436 FinishHDG
Diameter/Size1" Bolt Mfg. Lot Number71251-1
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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