Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-11-17-3
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Project Information
| Project Identifiers | Project ID: 212085 DEA: 07296604 EFIS: 0713000057 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-14.0/19.0 |
| Award Date | 06/04/2018 |
| Closeout Date | 05/04/2023 |
| Work Description | PAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK) |
| Location Description | IN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE |
| QA Service Level | 1 (Verified on 07/25/2018) |
Sample Information
| Sample Taken Date | 11/17/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 11/20/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" x 1 3/4" TC bolt assemblies |
| The quantity of what the sample constitutes | 44 | From where was the sample collected | Distributor |
| 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 | Page Industries | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-268-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | Bolt 100892474 HHN 75072730 Washer 11815570 | Nut Mfg. Lot Number(s) | 29340-75072730 |
| Washer Mfg. Lot Number(s) | D6305 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 1 3/4" | Nut Specification | ASTM A563 Gr. DH |
| Washer Specification | ASTM F436 | Finish | MG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 29359-1008924474 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-11-17-3-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-17-3-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-11-17-3-3 ASTM B499-14 (Verified)
DIME Test ID: 2020-11-17-3-4 ASTM B499-14 (Verified)
DIME Test ID: 2020-11-17-3-5 ASTM B499-14 (Verified)
DIME Test ID: 2020-11-17-3-6 ASTM E18-15 (Verified)
DIME Test ID: 2020-11-17-3-7 ASTM E18-15 (Verified)
DIME Test ID: 2020-11-17-3-8 ASTM F606-14a (Verified)