Sample Record
DIME Sample ID 2023-09-12-10
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Project Information
| Project Identifiers | Project ID: 215479 DEA: 080R4204 EFIS: 0812000076 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-SR 210 AND I-15 IC-Null |
| Award Date | 04/02/2021 |
| Closeout Date | 12/10/2024 |
| Work Description | FONTANA MAINTENANCE STATION |
| Location Description | 14032 Victoria Street, Fontana, CA 92336 |
| QA Service Level | 1 (Verified on 02/11/2021) |
Owner Lab
- CT HQ - QASI Los Angeles Field Office
Sample Information
| Sample Taken Date | 09/12/2023 | Sample Unique Key | 10 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/15/2023 | Sample type | Quality Assurance |
| A brief description of the sample | 3/4 x 11" Anchor Bolts A36 | The quantity of what the sample constitutes | 28 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Huidon |
| Last name of sampler or witnessed by | Joo | Title of sampler | Quality Assurance Inspector |
| Telephone number of sampler | 562-447-5379 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Maya Steel Fabrications, Inc | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | L163-067-23 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 3118926, 5804880203, 32030360 | Nut Mfg. Lot Number(s) | 35918-5804880203 |
| Washer Mfg. Lot Number(s) | 164336 | Bolt Specification | ASTM F1554 Grade 36 |
| Bolt Length(s) | 11" | Nut Specification | ASTM A563 HHN, Grade DH |
| Washer Specification | ASTM F436 | Finish | Black |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | CMC STEEL TEXAS 3118926 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) | Bolt Mill Supplier | Not set | |
| Nut Mill Supplier | Not set | Washer Mill Supplier | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||