Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-07-18-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213520 DEA: 120M9004 EFIS: 1213000017 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22-R5.6/R10.9 |
| Award Date | 12/13/2018 |
| Closeout Date | 09/08/2022 |
| Work Description | RECHANNELIZE TO ENHANCE TRAFFIC FLOW |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF BROOKHURST STREET UNDERCROSSING IN GARDEN GROVE TO BEDFORD ROAD OVERCROSSING IN ORANGE |
| QA Service Level | 1 (Verified on 09/10/2018) |
Sample Information
| Sample Taken Date | 07/18/2019 | 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 | 07/18/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor bolt assemblies |
| The quantity of what the sample constitutes | 12 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kevin Carpenter | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 415-608-1742 |
| Laboratory sample identification | B24-018-19 | Linked DIME Sample ID | 2019-07-18-1 |
| The fabricator/manufacturer/facility name | EDSCO Fasteners | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-018-19 | Structure unique identifier | 12-0M9004 |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NONE |
|---|---|---|---|
| Heat Number(s) | 3084898 | Nut Mfg. Lot Number(s) | 188194 |
| Washer Mfg. Lot Number(s) | 176419 | Bolt Specification | F1554GR55 |
| Bolt Length(s) | 7' | Nut Specification | A194GR2H |
| Washer Specification | F193 | Finish | Hot Dip Gal |
| Diameter/Size | 2" | Bolt Mfg. Lot Number | 3084898 |
| Rocap Test Requirement(s) | NONE | Lubricant Requirements(s) | ASTM |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-07-18-1-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-07-18-1-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-07-18-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-07-18-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-07-18-1-5 ASTM B499-14 (Verified)
DIME Test ID: 2019-07-18-1-6 ASTM B499-14 (Verified)
DIME Test ID: 2019-07-18-1-7 ASTM B499-14 (Verified)
DIME Test ID: 2019-07-18-1-8 ASTM E18-15 (Verified)
DIME Test ID: 2019-07-18-1-9 ASTM E18-15 (Verified)
