Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-08-29-6
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-405,73,405,605-9.3/24.3 |
| Award Date | 11/07/2016 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP. |
| Location Description | Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2 |
| QA Service Level | 1 (Verified on 09/10/2015) |
Sample Information
| Sample Taken Date | 08/29/2022 | 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 | 08/30/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1 1/4" ASTM A563 HHN GR DH |
| The quantity of what the sample constitutes | 12 ASTM A563 Heavy hex nut | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | (562) 360-5216 |
| 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 | L123-092-22 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 33777 |
|---|---|---|---|
| Heat Number(s) | 190933 | Nut Mfg. Lot Number(s) | Unytite Inc |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | N/A |
| Bolt Length(s) | N/A | Nut Specification | ASTM A563 Heavy Hex Nut Grade DH, Galv. |
| Washer Specification | n/a | Finish | ASTM A563 Heavy Hex Nut Grade DH |
| Diameter/Size | 1 1/4" | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Blue Dye | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-08-29-6-1 ASTM F606-21 (Verified)
DIME Test ID: 2022-08-29-6-2 ASTM F606-21 (Verified)
DIME Test ID: 2022-08-29-6-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-7 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-12 ASTM B499-09r21 (Verified)
