Sample Record

DIME Sample ID 2022-10-13-4

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot 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 DescriptionOrange 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 Level1 (Verified on 09/10/2015)

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date10/13/2022 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing10/13/2022 Sample typeQuality Assurance
A brief description of the sampleA563 Grade DH Nut w/ Collar The quantity of what the sample constitutes2348 Nuts
From where was the sample collectedJob Site First name of sampler or witnessed byNA
Last name of sampler or witnessed byNA Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAce Fence Company
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)DL20104497 Nut Mfg. Lot Number(s)448953B
Washer Mfg. Lot Number(s) Bolt SpecificationNA
Bolt Length(s) Nut SpecificationA563 DH
Washer SpecificationNA FinishHDG
Diameter/Size0.75 Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)Green
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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