Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-01-15-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213737 DEA: 07289104 EFIS: 0700021123 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-11.9/13.2 |
| Award Date | 01/09/2019 |
| Closeout Date | 07/14/2022 |
| Work Description | Rehabilitate the existing Commercial Vehicle Enforcement Facility. |
| Location Description | LOS ANGELES COUNTY IN CARSON FROM DEL AMO BOULEVARD OVER CROSSING TO VERMONT AVENUE (190TH) UNDER CROSSING. |
| QA Service Level | 1 (Verified on 08/26/2019) |
Sample Information
| Sample Taken Date | 01/15/2020 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 1 1/4" x 1'5" ASTM A1554 GR105 HDG Anchor Bolt |
| The quantity of what the sample constitutes | 24 anchor bolts | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jane | Last name of sampler or witnessed by | Lillard |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 916-308-9430 |
| Laboratory sample identification | Lot 1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Michael and Company | Transportation Laboratory (TL) Number | TL101 719045 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S52-005-20 | Structure unique identifier | |
| Structure name | Canopy |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 166981 | Nut Mfg. Lot Number(s) | n/a |
| Washer Mfg. Lot Number(s) | n/a | Bolt Specification | F1554 GRADE 105 HVY HEX |
| Bolt Length(s) | 1'5" shank and thread | Nut Specification | n/a |
| Washer Specification | n/a | Finish | Hot Dipped Galvanized ASTM A-153 |
| Diameter/Size | 1 1/4" | Bolt Mfg. Lot Number | 8085 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||