Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-06-21-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994875 DEA: 101F1804 EFIS: 1016000077 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4-R16.0/R19.4 |
| Award Date | 09/20/2023 |
| Closeout Date | Not set |
| Work Description | BRIDGE WORK, CONCRETE BARRIER, AND INSTALL RAMP METER SYSTEM. |
| Location Description | SAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE EAST OF ROUTE 4/5 SEPARATION TO 0.4 MILE WEST OF ROUTE 4/99 SEPARATION |
| QA Service Level | 1 (Verified on 06/14/2023) |
Sample Information
| Sample Taken Date | 06/21/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 06/24/2024 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 1 of 37 pcs | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 7029172503 |
| 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 | L115-088-24 | 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) | 1202055909 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | F1554 Gr. 55 | |
| Bolt Length(s) | 52" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | A153 |
| Diameter/Size | 1-1/2 | Bolt Mfg. Lot Number | 120205590920 |
| 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: 2024-06-21-1-1 ASTM A370-20 (Verified)
DIME Test ID: 2024-06-21-1-2 ASTM A370-20 (Verified)
DIME Test ID: 2024-06-21-1-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2024-06-21-1-4 ASTM B499-09r21 (Verified)
