Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-05-23-4
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993446 DEA: 120J34U4 EFIS: 1218000034 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55,55-29.6,R6.4/10.3 |
| Award Date | 05/27/2022 |
| Closeout Date | Not set |
| Work Description | CONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION |
| QA Service Level | 1 (Verified on 06/24/2022) |
Sample Information
| Sample Taken Date | 05/23/2023 | 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 | 05/26/2023 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM F1554 Grade 55 Anchor Bolt |
| The quantity of what the sample constitutes | 13 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Huidon | Last name of sampler or witnessed by | Joo |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 562-447-5379 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Circle Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L163-040-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 1202049858 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 | |
| Bolt Length(s) | 58" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | ASTM A123 |
| Diameter/Size | 2 1/4"- 4.5 x 58" | Bolt Mfg. Lot Number | 120204985821 |
| 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: 2023-05-23-4-1 ASTM A370-20 (Verified)
DIME Test ID: 2023-05-23-4-2 ASTM A370-20 (Verified)
DIME Test ID: 2023-05-23-4-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-05-23-4-4 ASTM B499-09r21 (Verified)
