Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2018-07-10-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213062 DEA: 07292304 EFIS: 0712000109 |
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DIST-CO-RTE-PM | 07-LA-5-25.6/26.0 |
Award Date | 04/04/2018 |
Closeout Date | 06/08/2020 |
Work Description | WIDEN OFF-RAMP, WIDEN BRIDGE, AND CONSTRUCT CONCRETE BARRIER. |
Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM 0.1 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5S/5 SEPARATION |
QA Service Level | 1 (Verified on 04/18/2018) |
Sample Information
Sample Taken Date | 07/10/2018 | Sample Unique Key | 2 |
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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 | 07/11/2018 |
Sample type | Quality Assurance | A brief description of the sample | 1-1/2 X 26 F1554 Gr105 |
The quantity of what the sample constitutes | 1 of 3 anchor bolts | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Leavitt |
Title of sampler | QA Inspector | Telephone number of sampler | 510 590-0116 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Utah Pacific Bridge | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S28-180-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
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Heat Number(s) | 72073249 | Nut Mfg. Lot Number(s) | TJV |
Washer Mfg. Lot Number(s) | 293648 | Bolt Specification | F1554 Gr105 |
Bolt Length(s) | 26" | Nut Specification | A563 GrDH |
Washer Specification | F436 | Finish | HDG |
Diameter/Size | 1-1/2" | Bolt Mfg. Lot Number | N/A |
Rocap Test Requirement(s) | No | Lubricant Requirements(s) | Yes |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-07-10-2-1 ASTM A370-15 (Verified)
DIME Test ID: 2018-07-10-2-2 ASTM A370-15 (Verified)
DIME Test ID: 2018-07-10-2-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-07-10-2-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2018-07-10-2-5 ASTM B499-14 (Verified)
DIME Test ID: 2018-07-10-2-6 ASTM B499-14 (Verified)
DIME Test ID: 2018-07-10-2-7 ASTM B499-14 (Verified)
DIME Test ID: 2018-07-10-2-8 ASTM E18-15 (Verified)
DIME Test ID: 2018-07-10-2-9 ASTM E18-15 (Verified)