Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-05-20-7
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994267 DEA: 07326204 EFIS: 0716000113 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-39-17.8 |
| Award Date | 11/23/2022 |
| Closeout Date | 06/10/2025 |
| Work Description | CONSTRUCT BRIDGE, PLACE STRUCTURAL STEEL AND CONCRETE BARRIER. |
| Location Description | LOS ANGELES COUNTY IN AZUSA AT SAN GABRIEL RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/06/2022) |
Sample Information
| Sample Taken Date | 05/20/2024 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 05/22/2024 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM F3125/A325 1.5 X 24" Heavy Hex Bolt Assembly |
| The quantity of what the sample constitutes | 14 Bolt Assemblies | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Preston | Last name of sampler or witnessed by | Brockett |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 5627836180 |
| 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 | L175-082-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 77996-2RM-A |
|---|---|---|---|
| Heat Number(s) | Bolt- 58058965 Nut- 8000010207 Washer- 128064 | Nut Mfg. Lot Number(s) | 459484A |
| Washer Mfg. Lot Number(s) | 0123-596 | Bolt Specification | ASTM A325/ F3125 |
| Bolt Length(s) | 24" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | ASTM A153- Hot Dip Galvanized |
| Diameter/Size | 1.5" | Bolt Mfg. Lot Number | 77996-2RM |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| L175-082-24 | 05/20/2024 | Info |
Test File Attachments
DIME Test ID: 2024-05-20-7-1 ASTM F606-21 (Verified)
DIME Test ID: 2024-05-20-7-2 ASTM F606-21 (Verified)
DIME Test ID: 2024-05-20-7-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-05-20-7-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-05-20-7-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-05-20-7-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2024-05-20-7-7 ASTM E18-20 (Verified)