Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-09-23-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214228
DEA: 120N4904
EFIS: 1214000050
DIST-CO-RTE-PM12-ORA-91-R12.5/R13.9
Award Date12/18/2019
Closeout DateNot set
Work DescriptionVEHICLE ENFORCEMENT FACILITY IMPROVEMENT AT PERALTA WEIGH STATION.
Location DescriptionORANGE 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 Level1 (Verified on 08/13/2019)

Sample Information

Sample Taken Date09/23/2020 Sample Unique Key14
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 testing09/28/2020
Sample typeQuality Assurance A brief description of the sample5/8" Washers
The quantity of what the sample constitutes87 From where was the sample collectedDistributor
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCT METS QA INSPECTOR Telephone number of sampler6466327821
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBristol Machine Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-219-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)31938550 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)1019-282 Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationN/A
Washer SpecificationASTM F436 FinishBlack
Diameter/Size5/8" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-09-23-14-1ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Steven PaineCT HQ - Sacramento Structural Materials Testing Laboratory09/29/2020Steven Paine
Yes
09/30/2020
2020-09-23-14-2ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Steven PaineCT HQ - Sacramento Structural Materials Testing Laboratory09/29/2020Steven Paine
Yes
09/30/2020