Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-07-05-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214230 Permit Numbers: 1019NMC0040 |
|---|---|
| DIST-CO-RTE-PM | 10---0.92/1.32 |
| Award Date | 06/06/2019 |
| Closeout Date | 10/07/2021 |
| Work Description | To widen EB off-ramp & Guthmiller Road to accommodate future development. |
| Location Description | SJ 120, Lathrop |
| QA Service Level | 1 (Verified on 08/02/2019) |
Sample Information
| Sample Taken Date | 07/05/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 07/09/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 1"-8 x 36"x 4" |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
| 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 | L110-089-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
|---|---|---|---|
| Heat Number(s) | 58038255 | Nut Mfg. Lot Number(s) | NA |
| Washer Mfg. Lot Number(s) | NA | Bolt Specification | ASTM F1554 |
| Bolt Length(s) | 36" | Nut Specification | NA |
| Washer Specification | NA | Finish | HDG |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | NA |
| Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-07-05-1-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-07-05-1-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-07-05-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-07-05-1-4 ASTM B499-14 (Verified)