Sample Record

DIME Sample ID 2023-05-23-5

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout Date03/13/2025
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date05/23/2023 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleASTM F1554 Grade 55 Anchor Bolt The quantity of what the sample constitutes5
From where was the sample collectedSource First name of sampler or witnessed byHuidon
Last name of sampler or witnessed byJoo Title of samplerCT METS QA INSPECTOR
Telephone number of sampler562-447-5379 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Circle Corp
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)1202044130 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationASTM F1554
Bolt Length(s)36" Nut SpecificationN/A
Washer SpecificationN/A FinishASTM F2329 - Hot Dip
Diameter/Size1 1/4"- 7 x 36" x 4" Bolt Mfg. Lot Number120204413021
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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