Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-10-10-16
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-I-15,SR-91-6.1-7.6 |
| Award Date | 03/11/2020 |
| Closeout Date | 06/05/2024 |
| Work Description | I-15 ELC: 15/91 Express Lanes Connector Project (ELC) |
| Location Description | Junction of I-15 and SR-91 in Corona, CA |
| QA Service Level | 1 (Verified on 09/16/2020) |
Sample Information
| Sample Taken Date | 10/10/2022 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 10/20/2022 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 anchor bolt |
| The quantity of what the sample constitutes | 25 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | QA | Telephone number of sampler | 415-608-1742 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valmont Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-102-22 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3108406,, C82082, 201091, | Nut Mfg. Lot Number(s) | XYY2 |
| Washer Mfg. Lot Number(s) | 148305 | Bolt Specification | F1554 |
| Bolt Length(s) | 52" | Nut Specification | A194-14a |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 3" x 52" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | 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: 2022-10-10-16-13 ASTM A370-20 (Verified)
DIME Test ID: 2022-10-10-16-14 ASTM A370-20 (Verified)
DIME Test ID: 2022-10-10-16-15 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-10-10-16-16 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-10-10-16-17 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-10-10-16-18 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-10-10-16-19 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-10-10-16-20 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-10-10-16-21 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-10-10-16-22 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-10-10-16-23 ASTM E18-20 (Verified)
DIME Test ID: 2022-10-10-16-24 ASTM E18-20 (Verified)
DIME Test ID: 2022-10-10-16-25 ASTM E18-20 (Verified)
DIME Test ID: 2022-10-10-16-26 ASTM E18-20 (Verified)
