Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-02-11-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213489 Permit Numbers: 0817NMC1320 0819NRT0801 0819NRW0944 0819NRT0802 0819NRW0952 0819NRW1158 0819NRW1299 0820NRT0046 0820NRT0047 |
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DIST-CO-RTE-PM | 08---27.05/27.55 |
Award Date | 06/01/2018 |
Closeout Date | 06/23/2021 |
Work Description | Enter onto Interstate 10 (I-10) right of way at Mountain View Avenue in the City of Redlands, to perform I-10 EB and WB off-ramps widening, install curb and gutter, ADA curb ramps, modify existing traffic signal, extend drainage box culvert, and install erosion control as per plans and specificatio |
Location Description | I-10, EB and WB off-ramps, Loma Linda |
QA Service Level | 1 (Verified on 08/13/2019) |
Sample Information
Sample Taken Date | 02/11/2020 | Sample Unique Key | 2 |
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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 | 02/14/2020 |
Sample type | Quality Assurance | A brief description of the sample | 3/4"-10 x 15" x 3" |
The quantity of what the sample constitutes | 7 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
Title of sampler | Telephone number of sampler | 213 435 4055 | |
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 | L140-044-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 3093312 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | Bolt Specification | F1554 Grade 55 | |
Bolt Length(s) | 15" x 3" | Nut Specification | n/a |
Washer Specification | n/a | Finish | Hot Dipped Galvanized |
Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
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: 2020-02-11-2-1 ASTM F606-14 (Verified)
DIME Test ID: 2020-02-11-2-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-02-11-2-3 ASTM B499-14 (Verified)