Sample Record

Owner Lab

  • LAC Metro

DIME Sample ID 2024-10-21-91

Project Information

Project IdentifiersProject ID: 1000357
DEA: 07341304
EFIS: 0717000187
DIST-CO-RTE-PM07---
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level2 (Verified on 12/03/2024)

Sample Information

Sample Taken Date10/21/2024 Sample Unique Key91
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/21/2024
Sample typeQuality Assurance A brief description of the sample1 1/2" x 42" Galvanized F1554 Grade 55 Anchor Bolt Assembly
The quantity of what the sample constitutes4 From where was the sample collectedFabricator
First name of sampler or witnessed byEric Last name of sampler or witnessed bySanabria
Title of samplerQuality Assurance Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1202054023 Nut Mfg. Lot Number(s)DEHY12 (Heat 223464)
Washer Mfg. Lot Number(s)169205 (Heat 42138130) Bolt SpecificationASTM F1554
Bolt Length(s)42" Nut SpecificationASTM A194 & ASTM A563
Washer SpecificationASTM F436 Finish
Diameter/Size1 1/2" Bolt Mfg. Lot Number120205402320
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

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

File NameExtensionDate UploadedActions
20-S190 RE241497pdf02/17/2025   Info

Test File Attachments