Sample Record

DIME Sample ID 2018-07-18-5

Project Information

Project IdentifiersProject ID: 212870
DEA: 07291704
EFIS: 0712000095
DIST-CO-RTE-PM07-LA-91-R11.4
Award Date01/18/2018
Closeout Date06/16/2021
Work DescriptionINSTALL CONCRETE BARRIER TO REPLACE EXISTING MBGR AND BRIDGE RAILING
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AT ROUTE 91/710 SEPARATION
QA Service Level1 (Verified on 05/10/2018)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date07/18/2018 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing07/18/2018 Sample typeQuality Assurance
A brief description of the sample7/8 threaded rod The quantity of what the sample constitutes1 of 8
From where was the sample collectedDistributor First name of sampler or witnessed byScott
Last name of sampler or witnessed byLeavitt Title of samplerQA Inspector
Telephone number of sampler5105900116 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameUniversal Industrial Sales Platte
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormS28-192-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)3052580 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationF1554 Gr36/55
Bolt Length(s)11" Nut SpecificationN/A
Washer SpecificationN/A FinishHDG
Diameter/Size7/8 Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)No Lubricant Requirements(s)No
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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