Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-07-08-1
Project Information
| Project Identifiers | Project ID: 994675 DEA: 07390204 EFIS: 0722000334 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47-0.4 / 2.1 |
| Award Date | 01/24/2025 |
| Closeout Date | Not set |
| Work Description | Bridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints. |
| Location Description | RTE 47 between Terminal Island and San Pedro PM 0.4/2.1 |
| QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
| Sample Taken Date | 07/08/2026 | 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 | 07/20/2026 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 2 of 200 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | UIS Lindon UT | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-102-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | none |
|---|---|---|---|
| Heat Number(s) | 255996 | Nut Mfg. Lot Number(s) | none |
| Washer Mfg. Lot Number(s) | none | Bolt Specification | ASTM F1554 gr 55 |
| Bolt Length(s) | 5' | Nut Specification | None |
| Washer Specification | none | Finish | Galvanized |
| Diameter/Size | 1-3/4 | Bolt Mfg. Lot Number | 255996 |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) | none |
| Washer Inner Diameter(s) | none |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
