Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-01-30-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995492 DEA: 07358204 EFIS: 0719000107 |
|---|---|
| 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 | 7 |
|---|---|---|---|
| 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 | ¾” Anchor Bolt Assemblies |
| The quantity of what the sample constitutes | 17 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) | |
|---|---|---|---|
| Heat Number(s) | Bolt-3135485 Nut-20902510 Washer-D2293 | Nut Mfg. Lot Number(s) | 24-42-010 |
| Washer Mfg. Lot Number(s) | 0924-389 | Bolt Specification | ASTM A1554 Grade 36 |
| Bolt Length(s) | 17" | Nut Specification | ASTM A563 Grade A |
| Washer Specification | ASTM F436 Type 1 | Finish | hdg |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-01-30-7-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-01-30-7-2 ASTM E18-20 (Verified)
DIME Test ID: 2025-01-30-7-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-01-30-7-4 ASTM E18-20 (Verified)
DIME Test ID: 2025-01-30-7-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-01-30-7-7 ASTM A370-15 (Verified)