Sample Record

DIME Sample ID 2017-07-18-8

Project Information

Project IdentifiersProject ID: 211948
DEA: 073W2204
EFIS: 0716000011
DIST-CO-RTE-PM07-LA-210-R0.0/R15.8
Award Date02/15/2017
Closeout Date08/28/2019
Work DescriptionREPLACE BRIDGE APPROACH SLABS AND REHABILITATE DECKS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AND GLENDALE FROM NORTH CONNECTOR OVERCROSSING TO HONOLULU AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/20/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date07/18/2017 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleThreaded Bar The quantity of what the sample constitutes1
From where was the sample collectedFabricator First name of sampler or witnessed byGeorge
Last name of sampler or witnessed byLujan Title of samplerQAI
Telephone number of sampler951 640-5331 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameUlmer Industries
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL36-009-17
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)405414 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationASTM 307
Bolt Length(s)3'-8" Nut SpecificationN/A
Washer SpecificationN/A FinishHDG
Diameter/Size3/4" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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