Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-03-11-4
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 1000104 DEA: 120R6804 EFIS: 1219000017 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA,LA-605-R0.2/R1.6,H0.9/H1.0 |
| Award Date | 05/10/2024 |
| Closeout Date | Not set |
| Work Description | MODIFY LIGHTING SYSTEMS. |
| Location Description | ORANGE AND LOS ANGELES COUNTIES IN LOS ALAMITOS AND LONG BEACH FROM 0.2 MILE NORTH OF ROUTE 605/405 SEPARATION TO 0.2 MILE NORTH OF KATELLA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/28/2024) |
Sample Information
| Sample Taken Date | 03/11/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 03/11/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3"-4"x56" F1554 Grade 55 Anchor Bolts |
| The quantity of what the sample constitutes | 2 Anchor Bolts from 121 pcs | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 916-767-3535 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Circle Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-019-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 3128699 | Nut Mfg. Lot Number(s) | n/a |
| Washer Mfg. Lot Number(s) | n/a | Bolt Specification | ASTM F1554 grade 55 |
| Bolt Length(s) | 56" | Nut Specification | n/a |
| Washer Specification | n/a | Finish | Hot Dip Galvanized |
| Diameter/Size | 3"x56" | Bolt Mfg. Lot Number | Lot 1 (121 ea.) |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-03-11-4-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-03-11-4-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-03-11-4-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-03-11-4-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-03-11-4-5 ASTM A370-20 (Verified)
