Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-10-07-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995448 DEA: 07316804 EFIS: 0715000220 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10S-28.3 |
| Award Date | 01/26/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE DECK. |
| Location Description | LOS ANGELES COUNTY IN EL MONTE AT RIO HONDO BUSWAY BRIDGE |
| QA Service Level | 1 (Verified on 01/22/2024) |
Sample Information
| Sample Taken Date | 10/07/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Verification | A brief description of the sample | anchor bolt assembly |
| The quantity of what the sample constitutes | 240 | From where was the sample collected | Other |
| First name of sampler or witnessed by | Bria | 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 | Powell Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-084-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | E804K1 | |
| Washer Mfg. Lot Number(s) | 218553 | Bolt Specification | ASTM F1554 Grade 105 |
| Bolt Length(s) | 16.5" | Nut Specification | ASTM A563-DH |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 71251-1 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||