Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-04-06-4
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 | 04/06/2023 | Sample Unique Key | 4 |
---|---|---|---|
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 | 04/10/2023 |
Sample type | Quality Assurance | A brief description of the sample | 7/8" x 2-1/2" Rocap |
The quantity of what the sample constitutes | 15 | 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 QA METS Inspector | Telephone number of sampler | 1-385-452-2398 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Universal Industrial Sales Inc | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-050-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | TT0163919 |
---|---|---|---|
Heat Number(s) | 10782960, 75069482, 217945 | Nut Mfg. Lot Number(s) | L958H1 |
Washer Mfg. Lot Number(s) | 15336-217945 | Bolt Specification | ASTM A325 |
Bolt Length(s) | 2-1/2 | Nut Specification | ASTM A563 DH |
Washer Specification | ASTM F436 | Finish | Mechanical Galvanize |
Diameter/Size | 7/8" | Bolt Mfg. Lot Number | BM1154 |
Rocap Test Requirement(s) | Test # TT0163919 | Lubricant Requirements(s) | Nuts Wax and Dye |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-04-06-4-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-04-06-4-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-04-06-4-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-04-06-4-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-04-06-4-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-04-06-4-6 ASTM E18-20 (Verified)
DIME Test ID: 2023-04-06-4-7 ASTM E18-20 (Verified)