Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-05-24-1
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Project Information
| Project Identifiers | Project ID: 211803 DEA: 120M6104 EFIS: 1212000121 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55,57,91-17.5/17.9;15.2/16.0;5.8/6.8;8.7/R9.5 |
| Award Date | 12/21/2016 |
| Closeout Date | 06/21/2021 |
| Work Description | INSTALL ADDITIONAL LIGHTING AT SEPARATIONS AND UPGRADE GUARDRAIL |
| Location Description | ORANGE COUNTY IN ANAHEIM ON ROUTES 55, 57, 91 AT ROUTE 91/57 SEPARATION AND ROUTE 91/55 SEPARATION |
| QA Service Level | 1 (Verified on 01/12/2017) |
Sample Information
| Sample Taken Date | 05/24/2017 | 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 | 05/24/2017 |
| Sample type | Verification | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 801-669-2984 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | EDSCO | Transportation Laboratory (TL) Number | C719137 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-047-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | n/a |
|---|---|---|---|
| Heat Number(s) | 3068915 | Nut Mfg. Lot Number(s) | Ameribolt W1916, 57338 |
| Washer Mfg. Lot Number(s) | wrought 299932 | Bolt Specification | F1554 Gr.55 |
| Bolt Length(s) | 4'-5" | Nut Specification | A563-DH |
| Washer Specification | F436 | Finish | HDG/plain |
| Diameter/Size | 2 1/2" | Bolt Mfg. Lot Number | n/a |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-05-24-1-1 ASTM A370-15 (Verified)
DIME Test ID: 2017-05-24-1-2 ASTM A370-15 (Verified)
DIME Test ID: 2017-05-24-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-6 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-7 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-8 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-10 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-11 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-12 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-13 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-14 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-15 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-24-1-16 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-24-1-17 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-18 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-19 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-24-1-20 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-24-1-21 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-24-1-22 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-23 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-24 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-24-1-25 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-24-1-26 ASTM E18-15 (Verified)