DIME - Sample Record for DIME Sample ID 2022-08-29-6

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Sample Record

Owner Lab

CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-08-29-6

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Project Information

Project Identifiers	Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670
DIST-CO-RTE-PM	12-ORA-405,73,405,605-9.3/24.3
Award Date	11/07/2016
Closeout Date	Not set
Work Description	(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description	Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level	1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date	08/29/2022	Sample Unique Key	6
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	08/30/2022
Sample type	Quality Assurance	A brief description of the sample	1 1/4" ASTM A563 HHN GR DH
The quantity of what the sample constitutes	12 ASTM A563 Heavy hex nut	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Osiel	Last name of sampler or witnessed by	Ramirez
Title of sampler	Quality Assurance Inspector	Telephone number of sampler	(562) 360-5216
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Bristol Machine	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	L123-092-22	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)	33777
Heat Number(s)	190933	Nut Mfg. Lot Number(s)	Unytite Inc
Washer Mfg. Lot Number(s)	N/A	Bolt Specification	N/A
Bolt Length(s)	N/A	Nut Specification	ASTM A563 Heavy Hex Nut Grade DH, Galv.
Washer Specification	n/a	Finish	ASTM A563 Heavy Hex Nut Grade DH
Diameter/Size	1 1/4"	Bolt Mfg. Lot Number	N/A
Rocap Test Requirement(s)		Lubricant Requirements(s)	Blue Dye

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2022-08-29-6-1	ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)	<None>, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	<None>	Yes	09/29/2022	Nut Proof Load
2022-08-29-6-2	ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)	<None>, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	<None>	Yes	09/29/2022	Nut Proof Load
2022-08-29-6-3	ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-4	ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-5	ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-6	ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-7	ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-8	ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-9	ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022
2022-08-29-6-10	ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Ruben Macias, CT HQ - Sacramento Structural Materials Testing Laboratory	09/28/2022	Ruben Macias	Yes	09/29/2022

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2022-08-29-6-1 ASTM F606-21 (Verified)
DIME Test ID: 2022-08-29-6-2 ASTM F606-21 (Verified)
DIME Test ID: 2022-08-29-6-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-7 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-08-29-6-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-08-29-6-12 ASTM B499-09r21 (Verified)