Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-12-16-11
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 |
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DIST-CO-RTE-PM | 07-LA-710-6.0-9.4 |
Award Date | 09/02/2011 |
Closeout Date | Not set |
Work Description | Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing. |
Location Description | Port of Long Beach (District 7) |
QA Service Level | 1 (Verified on 06/03/2013) |
Sample Information
Sample Taken Date | 12/16/2019 | Sample Unique Key | 11 |
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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 | 12/19/2019 |
Sample type | Quality Assurance | A brief description of the sample | A490 Bolt |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Nicholas | Last name of sampler or witnessed by | Hoffmann |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | LeJeune Bolt Company | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L124-34-19 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | L1413193 |
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Heat Number(s) | 75070176 | Nut Mfg. Lot Number(s) | 28846-6214661005Z |
Washer Mfg. Lot Number(s) | 0115-716Z | Bolt Specification | A490 |
Bolt Length(s) | 5-1/4" | Nut Specification | A563 DH |
Washer Specification | F436-3 | Finish | Geomet |
Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | 050218-1CG-51Z |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-12-16-11-1 ASTM F606-14a (Verified)
DIME Test ID: 2019-12-16-11-2 ASTM F606-14a (Verified)
DIME Test ID: 2019-12-16-11-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-16-11-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-12-16-11-5 ASTM E18-15 (Verified)