Sample Record

DIME Sample ID 2019-06-13-9

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date06/13/2019 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testing06/20/2019 Sample typeQuality Assurance
A brief description of the sampleASTM F1554 Gr 55 Anchor Bolt The quantity of what the sample constitutes5
From where was the sample collectedManufacturer First name of sampler or witnessed byChristopher
Last name of sampler or witnessed byDsouza Title of sampler
Telephone number of sampler6469423585 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Circle Corp
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationN/A
Bolt Length(s)Unknown Nut SpecificationN/A
Washer SpecificationN/A Finish
Diameter/SizeUnknown 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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