Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-11-01-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212697 DEA: 101C3004 EFIS: 1014000145 |
|---|---|
| DIST-CO-RTE-PM | 10-STA,SJ-99-R20.9/R24.7, 0.0/6.8 |
| Award Date | 12/20/2017 |
| Closeout Date | 01/04/2021 |
| Work Description | RAMP WIDENING, DRAINAGE, RAMP METERS, AND FIBER OPTIC SYSTEM. |
| Location Description | STANISLAUS AND SAN JOAQUIN COUNTIES FROM 0.8 MILE SOUTH OF PELANDALE AVENUE OVERCROSSING IN MODESTO TO 0.2 MILE NORTH OF THE NORTH JUNCTION ROUTE 120/99 SEPARATION IN MANTECA |
| QA Service Level | 1 (Verified on 01/25/2018) |
Sample Information
| Sample Taken Date | 11/01/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/09/2018 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Churchill |
| Title of sampler | QA Inspector | Telephone number of sampler | 510-693-3545 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | AandM Nut and Bolt | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L02-082-18 | 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) | 58034038-02 | Nut Mfg. Lot Number(s) | W4624 |
| Washer Mfg. Lot Number(s) | 308856 | Bolt Specification | F1554 |
| Bolt Length(s) | 55-1/2" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 2-1/4" | Bolt Mfg. Lot Number | 4386-PPO |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | yes | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-11-01-1-1 ASTM A370-15 (Verified)
DIME Test ID: 2018-11-01-1-2 ASTM A370-15 (Verified)
DIME Test ID: 2018-11-01-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-01-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-01-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-01-1-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-11-01-1-7 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-01-1-8 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-01-1-9 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-01-1-10 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-01-1-11 ASTM B499-14 (Verified)
DIME Test ID: 2018-11-01-1-12 ASTM E18-15 (Verified)
DIME Test ID: 2018-11-01-1-13 ASTM E18-15 (Verified)
DIME Test ID: 2018-11-01-1-14 ASTM E18-15 (Verified)
