Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-12-23-1
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Project Information
| Project Identifiers | Project ID: 214888 DEA: 120P5204 EFIS: 1215000137 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22,57-R9.4/L9.8,10.9/11.4 |
| Award Date | 05/22/2020 |
| Closeout Date | 01/18/2022 |
| Work Description | REPLACE CONC BARRIER & SIGN PANEL; & MODIFY LIGHTING SYSTEM. |
| Location Description | ORANGE COUNTY IN ORANGE ON ROUTE 22 FROM LEWIS STREET OVERCROSSING TO 0.1 MILE WEST OF THE CITY DRIVE UNDERCROSSING AND ON ROUTE 57 FROM 0.3 MILE SOUTH OF CHAPMAN AVENUE UNDERCROSSING TO 0.4 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/21/2020) |
Sample Information
| Sample Taken Date | 12/23/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 01/04/2021 |
| Sample type | Verification | A brief description of the sample | Anchor Bolt Assembly |
| The quantity of what the sample constitutes | 48 ea. | From where was the sample collected | Other |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Dsouza |
| Title of sampler | Telephone number of sampler | 6469423585 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | EDSCO | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 3101507 | Nut Mfg. Lot Number(s) | XYY2 HDG Nut XSF2 Plain Nut |
| Washer Mfg. Lot Number(s) | 6186 | Bolt Specification | F1554 Gr55 |
| Bolt Length(s) | 4'-4" | Nut Specification | A194 Grade 2H |
| Washer Specification | F436 | Finish | |
| Diameter/Size | 3" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
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Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-12-23-1-1 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-12-23-1-2 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-12-23-1-3 ASME B1.2-83r01 (Verified)
DIME Test ID: 2020-12-23-1-4 ASTM B499-14 (Verified)
DIME Test ID: 2020-12-23-1-5 ASTM B499-14 (Verified)
DIME Test ID: 2020-12-23-1-6 ASTM B499-14 (Verified)
DIME Test ID: 2020-12-23-1-7 ASTM B499-14 (Verified)
DIME Test ID: 2020-12-23-1-8 ASTM A370-15 (Verified)
DIME Test ID: 2020-12-23-1-9 ASTM A370-15 (Verified)
DIME Test ID: 2020-12-23-1-10 ASTM E18-15 (Verified)
DIME Test ID: 2020-12-23-1-11 ASTM E18-15 (Verified)
DIME Test ID: 2020-12-23-1-12 ASTM E18-15 (Verified)
DIME Test ID: 2020-12-23-1-13 ASTM E18-15 (Verified)
DIME Test ID: 2020-12-23-1-14 ASTM E18-15 (Verified)