Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-06-13-9
Project Information
Project Identifiers | Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 |
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DIST-CO-RTE-PM | 07-LA-10-33.2/37.2 |
Award Date | 02/10/2014 |
Closeout Date | 03/01/2022 |
Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING |
QA Service Level | 1 (Verified on 05/06/2014) |
Sample Information
Sample Taken Date | 06/13/2019 | Sample Unique Key | 9 |
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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 | 06/20/2019 |
Sample type | Quality Assurance | A brief description of the sample | ASTM F1554 Gr 55 Anchor Bolt |
The quantity of what the sample constitutes | 5 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Christopher | Last name of sampler or witnessed by | Dsouza |
Title of sampler | Telephone number of sampler | 6469423585 | |
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 | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Nut Mfg. Lot Number(s) | ||
Washer Mfg. Lot Number(s) | Bolt Specification | N/A | |
Bolt Length(s) | Unknown | Nut Specification | N/A |
Washer Specification | N/A | Finish | |
Diameter/Size | Unknown | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |