Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2024-11-18-4
Sample Details QR Code
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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) |
Sample Information
| Sample Taken Date | 11/18/2024 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 12/03/2024 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 anchor rods |
| The quantity of what the sample constitutes | 70 | 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) | 3133006 20890720 | Nut Mfg. Lot Number(s) | 39380-20890720 |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 Gr 55 | |
| Bolt Length(s) | 38” | Nut Specification | ASTM A194 |
| Washer Specification | N/A | Finish | Galv ASTM A123 A153 |
| Diameter/Size | 1” | Bolt Mfg. Lot Number | 62773-PPO |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Blue dye | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-18-4-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-4-2 ASTM A370-20 (Verified)
DIME Test ID: 2024-11-18-4-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-4-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-4-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-11-18-4-6 ASTM E18-20 (Verified)
DIME Test ID: 2024-11-18-4-7 ASTM E18-20 (Verified)
DIME Test ID: 2024-11-18-4-8 ASTM E18-20 (Verified)