Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-02-12-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995320 DEA: 072XC604 EFIS: 0723000084 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33-12.6/16.5, 12.6/23.75 |
| Award Date | 01/09/2023 |
| Closeout Date | Not set |
| Work Description | Remove the mud and debris from the roadway, repair the eroded slopes, clean the drainage systems and basins, repair the damaged shoulders and roadside signs and markers, and fix the compromised drainage system |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/27/2023) |
Sample Information
| Sample Taken Date | 02/12/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 02/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM F1554 Gr 105 Anchor Bolt with nuts and washers |
| The quantity of what the sample constitutes | 40 Anchor Assemblies | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Preston | Last name of sampler or witnessed by | Brockett |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5627836180 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Industrial Bolt and Supply | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L175-011-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Bolt- 10889100 Nut- 223575 Washer- 12133230 | Nut Mfg. Lot Number(s) | 37077-223575 |
| Washer Mfg. Lot Number(s) | 177631 | Bolt Specification | F1554 Grade 105 HDG |
| Bolt Length(s) | 1' | Nut Specification | ASTM A563 Grade DH HDG |
| Washer Specification | ASTM F436 HDG | Finish | ASTM A153- Hot Dip |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 2411261-44A |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 07-2XC604_6034_L175-011-24_02-12-2025_1007_DOCS | 02/13/2025 | Info |
Test File Attachments
DIME Test ID: 2025-02-12-1-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-02-12-1-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-02-12-1-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-02-12-1-4 ASTM A370-20 (Verified)
DIME Test ID: 2025-02-12-1-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-12-1-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-12-1-7 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-12-1-8 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-12-1-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-12-1-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-12-1-11 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-12-1-12 ASTM E18-20 (Verified)
DIME Test ID: 2025-02-12-1-13 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-02-12-1-14 ASTM A370-15 (Verified)
DIME Test ID: 2025-02-12-1-15 ASTM B499-09r21