Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-05-18-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2 |
| Award Date | 04/18/2019 |
| Closeout Date | 06/28/2022 |
| Work Description | REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/17/2019) |
Sample Information
| Sample Taken Date | 05/18/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Verification | A brief description of the sample | 1.5" x 52" DE anchor rod |
| The quantity of what the sample constitutes | 21 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kenneth | Last name of sampler or witnessed by | Varela |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | (562) 440-7716 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | EDSCO Fasteners | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-049-20 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 3092321 | Nut Mfg. Lot Number(s) | DDYD / 27217-62144843 |
| Washer Mfg. Lot Number(s) | Wrought | Bolt Specification | F1554 Gr. 55 |
| Bolt Length(s) | 52" | Nut Specification | A194 2H |
| Washer Specification | F436 | Finish | partial HDG |
| Diameter/Size | 1.5 | Bolt Mfg. Lot Number | Dyson HDG and Unytite |
| Rocap Test Requirement(s) | None | Lubricant Requirements(s) | None |
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||