Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-06-6
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214228 DEA: 120N4904 EFIS: 1214000050 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R12.5/R13.9 |
| Award Date | 11/29/2022 |
| Closeout Date | 11/07/2023 |
| Work Description | VEHICLE ENFORCEMENT FACILITY IMPROVEMENT AT PERALTA WEIGH STATION. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM 1.0 MILE EAST OF ROUTE 91/90 SEPARATION TO 0.5 MILE WEST OF WEIR CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/13/2019) |
Sample Information
| Sample Taken Date | 07/06/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 07/10/2020 |
| Sample type | Verification | A brief description of the sample | ASTM F1554 Gr 36 no headed anchor bolts |
| The quantity of what the sample constitutes | 23 | From where was the sample collected | Fabricator |
| 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 | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bristol Machine | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-064-20 | 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) | 1202009463 | Nut Mfg. Lot Number(s) | 31074-71079609 |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | ASTM F1554 Gr 36 |
| Bolt Length(s) | 31-3/4” | Nut Specification | ASTM A563 Gr. DH |
| Washer Specification | ASTM A36 | Finish | Black |
| Diameter/Size | 1-1/4” | Bolt Mfg. Lot Number | 120200946323 |
| Rocap Test Requirement(s) | None | Lubricant Requirements(s) | None |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-06-6-1 ASTM A370-15 (Verified)
DIME Test ID: 2020-07-06-6-2 ASTM A370-15 (Verified)
DIME Test ID: 2020-07-06-6-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-06-6-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-06-6-5 ASTM E18-15 (Verified)
