Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-01-15-9
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 | 9 |
---|---|---|---|
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" ASTM A194 Heavy Hex Nut Grade 2H, HDG |
The quantity of what the sample constitutes | 70 nuts | 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 719046 |
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) | 144235 | Nut Mfg. Lot Number(s) | 19298-144235 |
Washer Mfg. Lot Number(s) | n/a | Bolt Specification | n/a |
Bolt Length(s) | n/a | Nut Specification | A194 Heavy Hex Nut Grade 2H |
Washer Specification | n/a | Finish | Hot Dipped Galvanized ASTM A-153 |
Diameter/Size | 1 1/4" | Bolt Mfg. Lot Number | n/a |
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. |