Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-05-15-3
Project Information
| Project Identifiers | Project ID: 211513 DEA: 120M4904 EFIS: 1212000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-1.2/2.2 |
| Award Date | 09/20/2016 |
| Closeout Date | 01/09/2020 |
| Work Description | WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS. |
| Location Description | ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/03/2016) |
Sample Information
| Sample Taken Date | 05/15/2018 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 05/25/2018 |
| Sample type | Department Acceptance | A brief description of the sample | A325 Fastener Assembly |
| The quantity of what the sample constitutes | 20 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Prakash | Last name of sampler or witnessed by | Patel |
| Title of sampler | Telephone number of sampler | 5626654686 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | SLSB-IL | Transportation Laboratory (TL) Number | 102 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L1101018 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Nut Mfg. Lot Number(s) | ||
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM A325 | |
| Bolt Length(s) | 2" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Mech. Galv |
| Diameter/Size | 7/8 | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-05-15-3-1 ASTM F606-14a (Verified)
DIME Test ID: 2018-05-15-3-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-05-15-3-3 ASTM B499-14 (Verified)
DIME Test ID: 2018-05-15-3-4 ASTM B499-14 (Verified)
DIME Test ID: 2018-05-15-3-5 ASTM B499-14 (Verified)
DIME Test ID: 2018-05-15-3-6 ASTM E18-15 (Verified)
DIME Test ID: 2018-05-15-3-7 ASTM E18-15 (Verified)
