Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-12-10-5
Project Information
| Project Identifiers | Project ID: 213550 DEA: 07318404 EFIS: 0715000297 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,10-18.3/18.8,S0.0/18.9 |
| Award Date | 09/27/2018 |
| Closeout Date | 08/03/2023 |
| Work Description | APPLY HIGH FRICTION SURFACE TREATMENT AND UPGRADE LIGHTING. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM STATE STREET OVERCROSSING TO MISSION ROAD UNDERCROSSING AND ON ROUTE 10 FROM MISSION ROAD ON-RAMP UNDERCROSSING TO 0.3 MILE EAST OF STATE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/23/2019) |
Sample Information
| Sample Taken Date | 12/10/2019 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 12/12/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 2.50" - 4.0 x 4'-5" F1554 Grade 55 Anchor Bolts |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | EDSCO | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110- 175-19 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
|---|---|---|---|
| Heat Number(s) | 3091456 | Nut Mfg. Lot Number(s) | 19043 - HDG and 188907 - plain |
| Washer Mfg. Lot Number(s) | 64317/199586 | Bolt Specification | ASTM F1554 Grade 55 |
| Bolt Length(s) | 4'-5" | Nut Specification | ASTMA194 Grade 2H |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 2.5" | Bolt Mfg. Lot Number | NA |
| Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-12-10-5-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-12-10-5-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-12-10-5-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-10 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-10-5-11 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-12 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-13 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-14 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-15 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-16 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-17 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-18 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-19 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-20 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-21 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-22 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-23 ASTM B499-14 (Verified)
DIME Test ID: 2019-12-10-5-24 ASTM E18-15 (Verified)
DIME Test ID: 2019-12-10-5-25 ASTM E18-15 (Verified)
DIME Test ID: 2019-12-10-5-26 ASTM E18-15 (Verified)
DIME Test ID: 2019-12-10-5-27 ASTM E18-15 (Verified)
DIME Test ID: 2019-12-10-5-28 ASTM E18-15 (Verified)
DIME Test ID: 2019-12-10-5-29 ASTM E18-15 (Verified)
