Sample Record
DIME Sample ID 2024-11-18-3
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Project Information
| Project Identifiers | Project ID: 994978 DEA: 09379504 EFIS: 0919000009 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-5709- |
| Award Date | 05/17/2024 |
| Closeout Date | 11/25/2025 |
| Work Description | CONSTRUCT BUILDING AND PLACE HMA. |
| Location Description | INYO COUNTY AT INDEPENDENCE AT THE INDEPENDENCE MAINTENANCE STATION AT 665 NORTH EDWARDS STREET |
| QA Service Level | 1 (Verified on 08/02/2023) |
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Information
| Sample Taken Date | 11/18/2024 | Sample Unique Key | 3 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/03/2024 | Sample type | Quality Assurance |
| A brief description of the sample | F1554 anchor rods | The quantity of what the sample constitutes | 20 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Andrew |
| Last name of sampler or witnessed by | Webster | Title of sampler | QAI |
| Telephone number of sampler | 9254189838 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | A&M Nut & Bolt | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | L154-021-24 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3125718 5805910104 | Nut Mfg. Lot Number(s) | 39872-5805910104 |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 Gr 55 | |
| Bolt Length(s) | 33” | Nut Specification | ASTM A563 |
| Washer Specification | N/A | Finish | Galv ASTM A123 A153 |
| Diameter/Size | 3/4” | Bolt Mfg. Lot Number | 62772-PPO |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Blue dye | |
| Washer Inner Diameter(s) | Bolt Mill Supplier | Not set | |
| Nut Mill Supplier | Not set | Washer Mill Supplier | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-18-3-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-3-2 ASTM A370-20 (Verified)
DIME Test ID: 2024-11-18-3-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-3-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-3-5 ASTM E18-20 (Verified)
DIME Test ID: 2024-11-18-3-6 ASTM E18-20 (Verified)