Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-08-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 |
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DIST-CO-RTE-PM | 08-SBD-15-12.5/14.8 |
Award Date | 12/23/2019 |
Closeout Date | 01/18/2022 |
Work Description | REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT. |
Location Description | SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING |
QA Service Level | 1 (Verified on 12/12/2019) |
Sample Information
Sample Taken Date | 07/08/2020 | Sample Unique Key | 1 |
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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 | 07/13/2020 |
Sample type | Quality Assurance | A brief description of the sample | 3/4"-10 all thread rod with nut and plate washer |
The quantity of what the sample constitutes | 130 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cordova Bolt | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 134-142-20 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | All Thread 10624770 Nuts DL19102901 Plate washers 1202011437 | Nut Mfg. Lot Number(s) | 431189A |
Washer Mfg. Lot Number(s) | N/A | Bolt Specification | ASTM A449 type 1 |
Bolt Length(s) | approx. 48" | Nut Specification | A563-15 |
Washer Specification | ASTM A36/A529 Gr 50/44W/50W | Finish | HDG |
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: 2020-07-08-1-1 ASTM F606-14 (Verified)
DIME Test ID: 2020-07-08-1-2 ASTM F606-14a (Verified)
DIME Test ID: 2020-07-08-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-08-1-4 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-08-1-5 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-08-1-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-08-1-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-08-1-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-07-08-1-9 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-08-1-10 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-08-1-11 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-08-1-12 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-08-1-13 ASTM B499-14 (Verified)
DIME Test ID: 2020-07-08-1-14 ASTM B499-14 (Verified)