Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-05-18-6
Project Information
Project Identifiers | Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 |
---|---|
DIST-CO-RTE-PM | 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2 |
Award Date | 04/18/2019 |
Closeout Date | 06/28/2022 |
Work Description | REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS |
Location Description | Not set |
QA Service Level | 1 (Verified on 06/17/2019) |
Sample Information
Sample Taken Date | 05/18/2020 | Sample Unique Key | 6 |
---|---|---|---|
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 | Verification | A brief description of the sample | 1.5" x 52" DE anchor rod |
The quantity of what the sample constitutes | 21 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Kenneth | Last name of sampler or witnessed by | Varela |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | (562) 440-7716 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | EDSCO Fasteners | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-049-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
---|---|---|---|
Heat Number(s) | 3092321 | Nut Mfg. Lot Number(s) | DDYD / 27217-62144843 |
Washer Mfg. Lot Number(s) | Wrought | Bolt Specification | F1554 Gr. 55 |
Bolt Length(s) | 52" | Nut Specification | A194 2H |
Washer Specification | F436 | Finish | partial HDG |
Diameter/Size | 1.5 | Bolt Mfg. Lot Number | Dyson HDG and Unytite |
Rocap Test Requirement(s) | None | Lubricant Requirements(s) | None |
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. |