Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-10-03-4
Project Information
Project Identifiers | Project ID: 213894 DEA: 081H5304 EFIS: 0817000074 |
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DIST-CO-RTE-PM | 08-RIV,SBD-10,15,60,91,210,215-Var |
Award Date | 05/06/2019 |
Closeout Date | 08/09/2021 |
Work Description | REPAIR DETECTION SITES |
Location Description | RIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 10/22/2019) |
Sample Information
Sample Taken Date | 10/03/2019 | Sample Unique Key | 4 |
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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 | 10/08/2019 |
Sample type | Quality Assurance | A brief description of the sample | 1 1/4"-7x36"x6" Anchor Bolt |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
Title of sampler | QAI | Telephone number of sampler | 951-500-0685 |
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 | L133-007-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
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Heat Number(s) | 1201015106 | Nut Mfg. Lot Number(s) | NA |
Washer Mfg. Lot Number(s) | NA | Bolt Specification | ASTM F1554 Gr. 55 |
Bolt Length(s) | 36"x6" | Nut Specification | NA |
Washer Specification | NA | Finish | HDG |
Diameter/Size | 1 1/4" | Bolt Mfg. Lot Number | 120101510621 |
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: 2019-10-03-4-1 ASTM A370-15 (Verified)
DIME Test ID: 2019-10-03-4-2 ASTM A370-15 (Verified)
DIME Test ID: 2019-10-03-4-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-10-03-4-4 ASTM B499-14 (Verified)