Sample Record
DIME Sample ID 2024-04-04-10
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Project Information
| Project Identifiers | Project ID: 215771 DEA: 09367504 EFIS: 0916000032 |
|---|---|
| DIST-CO-RTE-PM | 09--5756-NA |
| Award Date | 03/23/2023 |
| Closeout Date | 11/10/2025 |
| Work Description | Building work, hot mix asphalt (type A) |
| Location Description | IN KERN COUNTY IN TEHACHAPI AT THE TEHACHAPI HIGHWAY MAINTENANCE STATION AT 305 INDUSTRIAL PARKWAY |
| QA Service Level | 1 (Verified on 05/13/2021) |
Owner Lab
- CT HQ - QASI Los Angeles Field Office
Sample Information
| Sample Taken Date | 04/04/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Quality Assurance |
| A brief description of the sample | 1/2"-13 x 1 3/4" A325 Bolt assembly | The quantity of what the sample constitutes | 3,780 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Jacob |
| Last name of sampler or witnessed by | Garcia | Title of sampler | Quality Assurance Inspector |
| Telephone number of sampler | 3109128014 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Cordova Bolt Inc. | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | L169-012-24 | |
| 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) | Bolt- 100219761 Nut- 1000220291 Washer- 227284 | Nut Mfg. Lot Number(s) | W000060045 |
| Washer Mfg. Lot Number(s) | 0123-593 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 1-1/2" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Plain |
| Diameter/Size | 1/2" | Bolt Mfg. Lot Number | W000043560 |
| 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. | |||