Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-11-18-10

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date11/18/2020 Sample Unique Key10
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleASTM F1554-15 Gr. 55 anchor bolts
The quantity of what the sample constitutes240 From where was the sample collectedManufacturer
First name of sampler or witnessed byBrian Last name of sampler or witnessed byMurray
Title of samplerQA Inspector Telephone number of sampler213 435 4055
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameA and M Nut and Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL140-297-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s) Nut Mfg. Lot Number(s)6215177505
Washer Mfg. Lot Number(s)191080 / 104860 Bolt SpecificationASTM F1554 Grade 55
Bolt Length(s)12" Nut SpecificationASTM A563 DH
Washer SpecificationASTM F436 Finishhot dipped galvanized
Diameter/Size5/8" Bolt Mfg. Lot Number3093311
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.