Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-10-28-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213749 DEA: 120C1104 EFIS: 1200000633 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-20.3/21.6 |
| Award Date | 04/19/2019 |
| Closeout Date | 05/28/2024 |
| Work Description | SR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
| Sample Taken Date | 10/28/2020 | 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 | 10/28/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Anchor Bolt Samples |
| The quantity of what the sample constitutes | 400 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 1-385-447-0624 |
| Laboratory sample identification | na | Linked DIME Sample ID | na |
| The fabricator/manufacturer/facility name | Universal Industrial Sales | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-050-20 | Structure unique identifier | |
| Structure name | na | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 1202022608 | Nut Mfg. Lot Number(s) | na |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | F1554-55 |
| Bolt Length(s) | 5'-0" | Nut Specification | na |
| Washer Specification | na | Finish | HDG/ Plain |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-10-28-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-10-28-1-6 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-7 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-8 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-9 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-10 ASTM B499-14 (Verified)
DIME Test ID: 2020-10-28-1-11 ASTM A370-15 (Verified)
DIME Test ID: 2020-10-28-1-12 ASTM A370-15 (Verified)
