Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-01-30-6
Project Information
Project Identifiers | Project ID: 995492 DEA: 07358204 EFIS: 0719000107 |
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DIST-CO-RTE-PM | 07-LA-5823- |
Award Date | 03/29/2024 |
Closeout Date | Not set |
Work Description | PROVIDE BUILDING WORK AT A MAINTENANCE STATION. |
Location Description | LOS ANGELES COUNTY IN LONG BEACH AT THE PACIFIC PLACE MAINTENANCE STATION AT NORTH 3725 PACIFIC PLACE |
QA Service Level | 1 (Verified on 01/22/2024) |
Sample Information
Sample Taken Date | 01/30/2025 | Sample Unique Key | 6 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 01/30/2025 |
Sample type | Quality Assurance | A brief description of the sample | 5/8" Fastener Assembly |
The quantity of what the sample constitutes | 23 Assemblies | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 9152961871 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | C & K Johnson Industries | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Bolt-10837860 Nut- 20894500 Washer-22409500 | Nut Mfg. Lot Number(s) | E746P1 |
Washer Mfg. Lot Number(s) | E6528 | Bolt Specification | ASTM A325 |
Bolt Length(s) | 2-1/4" | Nut Specification | ASTM A563 Grade DH |
Washer Specification | ASTM F436 | Finish | |
Diameter/Size | 5/8" | Bolt Mfg. Lot Number | E244L1 |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2025-01-30-6-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-01-30-6-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-01-30-6-3 ASTM E18-20 (Verified)
DIME Test ID: 2025-01-30-6-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-01-30-6-5 ASTM E18-20 (Verified)
DIME Test ID: 2025-01-30-6-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-01-30-6-7 ASTM E18-20 (Verified)