Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2019-12-11-30

Project Information

Project IdentifiersProject ID: 213741
DEA: 07325704
EFIS: 0716000089
DIST-CO-RTE-PM07-LA-5-1.7
Award DateNot set
Closeout DateNot set
Work DescriptionBUILDING CONSTRUCTION IN LOS ANGELES COUNTY IN SANTA FE SPRINGS AT 14044 FREEWAY DRIVE.
Location DescriptionSanta Fe Springs, At 14044 Freeway Drive.
QA Service Level1 (Verified on 07/08/2019)

Sample Information

Sample Taken Date12/11/2019 Sample Unique Key30
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleF1554 Anchor Bolt
The quantity of what the sample constitutes108 EA From where was the sample collectedDistributor
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCordova Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-195-19 Structure unique identifier
Structure nameBuilding Work

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)3063603 Nut Mfg. Lot Number(s)413065A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationF1554 Gr. 55
Bolt Length(s)10" Nut SpecificationA563 Gr. DH
Washer SpecificationN/A FinishPlain
Diameter/Size5/8" with 3" hook Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)NA Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-11-30-1ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)bewingCT HQ - Sacramento Structural Materials Testing Laboratory12/16/2019bewing
Yes
12/17/2019F1554 Gr 55 Rod
2019-12-11-30-2ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)<None>CT HQ - Sacramento Structural Materials Testing Laboratory12/16/2019<None>
Yes
12/17/2019Nut Proof
2019-12-11-30-3ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory12/16/2019Brian Ewing
Yes
12/17/2019
2019-12-11-30-4ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)Brian EwingCT HQ - Sacramento Structural Materials Testing Laboratory12/16/2019Brian Ewing
Yes
12/17/2019