Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-06-6
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214228 DEA: 120N4904 EFIS: 1214000050 |
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DIST-CO-RTE-PM | 12-ORA-91-R12.5/R13.9 |
Award Date | 11/29/2022 |
Closeout Date | 11/07/2023 |
Work Description | VEHICLE ENFORCEMENT FACILITY IMPROVEMENT AT PERALTA WEIGH STATION. |
Location Description | ORANGE COUNTY IN ANAHEIM FROM 1.0 MILE EAST OF ROUTE 91/90 SEPARATION TO 0.5 MILE WEST OF WEIR CANYON ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 08/13/2019) |
Sample Information
Sample Taken Date | 07/06/2020 | Sample Unique Key | 6 |
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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 | 07/10/2020 |
Sample type | Verification | A brief description of the sample | ASTM F1554 Gr 36 no headed anchor bolts |
The quantity of what the sample constitutes | 23 | From where was the sample collected | Fabricator |
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 | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Bristol Machine | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-064-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
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Heat Number(s) | 1202009463 | Nut Mfg. Lot Number(s) | 31074-71079609 |
Washer Mfg. Lot Number(s) | N/A | Bolt Specification | ASTM F1554 Gr 36 |
Bolt Length(s) | 31-3/4” | Nut Specification | ASTM A563 Gr. DH |
Washer Specification | ASTM A36 | Finish | Black |
Diameter/Size | 1-1/4” | Bolt Mfg. Lot Number | 120200946323 |
Rocap Test Requirement(s) | None | Lubricant Requirements(s) | None |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-07-06-6-1 ASTM A370-15 (Verified)
DIME Test ID: 2020-07-06-6-2 ASTM A370-15 (Verified)
DIME Test ID: 2020-07-06-6-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-06-6-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-06-6-5 ASTM E18-15 (Verified)