Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-05-15-3

Project Information

Project IdentifiersProject ID: 211513
DEA: 120M4904
EFIS: 1212000090
DIST-CO-RTE-PM12-ORA-5-1.2/2.2
Award Date09/20/2016
Closeout Date01/09/2020
Work DescriptionWIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS.
Location DescriptionORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING
QA Service Level1 (Verified on 11/03/2016)

Sample Information

Sample Taken Date05/15/2018 Sample Unique Key3
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 testing05/25/2018
Sample typeAcceptance A brief description of the sampleA325 Fastener Assembly
The quantity of what the sample constitutes20 From where was the sample collectedSource
First name of sampler or witnessed byPrakash Last name of sampler or witnessed byPatel
Title of sampler Telephone number of sampler5626654686
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSLSB-IL Transportation Laboratory (TL) Number102
Inspector Lot Number from the Transportation Laboratory (TL) FormL1101018 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationASTM A325
Bolt Length(s)2" Nut SpecificationA563
Washer SpecificationF436 FinishMech. Galv
Diameter/Size7/8 Bolt Mfg. Lot Number
Rocap Test Requirement(s)No Lubricant Requirements(s)No

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-15-3-1ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)BrianCT HQ - Sacramento Structural Materials Testing Laboratory06/01/2018Brian
Yes
06/13/2018Nut Proof Load
2018-05-15-3-2ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory06/04/2018Brian Ewing
Yes
06/13/2018
2018-05-15-3-3ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory06/04/2018Brian Ewing
Yes
06/13/2018
2018-05-15-3-4ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory06/04/2018Brian Ewing
Yes
06/13/2018
2018-05-15-3-5ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory06/04/2018Brian Ewing
Yes
06/13/2018
2018-05-15-3-6ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory06/04/2018Brian Ewing
Yes
06/13/2018
2018-05-15-3-7ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory06/04/2018Brian Ewing
Yes
06/13/2018