Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2017-07-18-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211948 DEA: 073W2204 EFIS: 0716000011 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R15.8 |
| Award Date | 02/15/2017 |
| Closeout Date | 08/28/2019 |
| Work Description | REPLACE BRIDGE APPROACH SLABS AND REHABILITATE DECKS. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AND GLENDALE FROM NORTH CONNECTOR OVERCROSSING TO HONOLULU AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/20/2017) |
Sample Information
| Sample Taken Date | 07/18/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Threaded Bar |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | George | Last name of sampler or witnessed by | Lujan |
| Title of sampler | QAI | Telephone number of sampler | 951 640-5331 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ulmer Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L36-009-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 405414 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM 307 | |
| Bolt Length(s) | 3'-8" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||