Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-05-25-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 211855 DEA: 081E6504 EFIS: 0814000059 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-60-R0.0/7.5 |
| Award Date | 12/29/2016 |
| Closeout Date | 06/23/2021 |
| Work Description | INSTALL DOUBLE LUMINAIRE LIGHTINGS AND UPGRADE EXISTING LIGHTINGS |
| Location Description | RIVERSIDE COUNTY FROM SAN BERNARDINO COUNTY LINE TO VALLEY WAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/07/2017) |
Sample Information
| Sample Taken Date | 05/25/2017 | 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 | 05/25/2017 |
| Sample type | Verification | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
| The quantity of what the sample constitutes | 1 | 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 | CT 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 | C719138 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-049-17 | 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) | 3047881 | Nut Mfg. Lot Number(s) | Ameribolt 56286 Dyson 111099 |
| Washer Mfg. Lot Number(s) | wrought 266919 | Bolt Specification | F1554 Gr.55 |
| Bolt Length(s) | Unknown | Nut Specification | A194-2H |
| Washer Specification | F436 | Finish | HDG/Plain |
| Diameter/Size | 1 3/4" x 4'-6" | 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: 2017-05-25-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-25-1-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-25-1-3 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-25-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2017-05-25-1-5 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-25-1-6 ASTM B499-14 (Verified)
DIME Test ID: 2017-05-25-1-7 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-25-1-8 ASTM A370-15 (Verified)
DIME Test ID: 2017-05-25-1-9 ASTM A370-15 (Verified)
DIME Test ID: 2017-05-25-1-10 ASTM E18-15 (Verified)
DIME Test ID: 2017-05-25-1-11 ASTM E18-15 (Verified)