Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2021-09-01-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215471
DEA: 120N5804
EFIS: 1214000063
MINOR: 12A1847
DIST-CO-RTE-PM12-ORA-57-15.0/15.5
Award DateNot set
Closeout Date07/02/2024
Work DescriptionTo improve Traffic Operation by Installing an overhead guide sign and roadside signs informing motorists of an upcoming mandatory exit ramp
Location DescriptionOrange County in the City of Anaheim, on southbound Route 57 between Lincoln Ave to E. La Palma Ave Undercrossing
QA Service Level1 (Verified on 02/12/2021)

Sample Information

Sample Taken Date09/01/2021 Sample Unique Key8
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 testing09/09/2021
Sample typeQuality Assurance A brief description of the sampleAnchor Bolt Hardware 2.25"
The quantity of what the sample constitutes432 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of samplerCT METS QA INSPECTOR Telephone number of sampler3854470624
Laboratory sample identificationna Linked DIME Sample IDna
The fabricator/manufacturer/facility nameUniversal Industrial Sales, Inc Transportation Laboratory (TL) Numberna
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-143-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)190907 Nut Mfg. Lot Number(s)DECD
Washer Mfg. Lot Number(s)na Bolt Specificationna
Bolt Length(s)NA Nut SpecificationA563-DH
Washer Specificationna FinishPlain
Diameter/Size2.25" Bolt Mfg. Lot Numberna
Rocap Test Requirement(s)na Lubricant Requirements(s)na

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-01-8-1ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory09/13/2021Fred Saylor
Yes
09/14/2021
2021-09-01-8-2ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory09/13/2021Fred Saylor
Yes
09/14/2021
2021-09-01-8-3ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory09/13/2021Fred Saylor
Yes
09/14/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-01-8-1 ASTM E18-15 (Verified)
DIME Test ID: 2021-09-01-8-2 ASTM E18-15 (Verified)
DIME Test ID: 2021-09-01-8-3 ASTM E18-15 (Verified)