Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-01-23-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212376 DEA: 044G8504 EFIS: 0413000052 |
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DIST-CO-RTE-PM | 04-SM-1-R44.1 |
Award Date | 04/12/2018 |
Closeout Date | 09/01/2020 |
Work Description | REPLACE PEDESTRIAN OVERCROSSING |
Location Description | SAN MATEO COUNTY IN PACIFICA AT THE SAN JOSE AVENUE PEDESTRIAN OVERCROSSING |
QA Service Level | 1 (Verified on 05/23/2018) |
Sample Information
Sample Taken Date | 01/23/2019 | Sample Unique Key | 3 |
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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 | 01/29/2019 |
Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
The quantity of what the sample constitutes | 37 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Hitesh | Last name of sampler or witnessed by | Patel |
Title of sampler | QA | Telephone number of sampler | 7142519350 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Blue Circle Corp | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L131-003-19 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
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Heat Number(s) | PL17107392 | Nut Mfg. Lot Number(s) | NA |
Washer Mfg. Lot Number(s) | NA | Bolt Specification | F1554 Grade 55 |
Bolt Length(s) | 18" | Nut Specification | NA |
Washer Specification | NA | Finish | Hot Dip Galvanized |
Diameter/Size | 1" | Bolt Mfg. Lot Number | PL1710739251 |
Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | NA |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-01-23-3-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-01-23-3-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-01-23-3-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-01-23-3-4 ASTM B499-14 (Verified)