Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-08-29-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot 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 DescriptionOrange 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 Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date08/29/2022 Sample Unique Key6
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 testing08/30/2022
Sample typeQuality Assurance A brief description of the sample1 1/4" ASTM A563 HHN GR DH
The quantity of what the sample constitutes12 ASTM A563 Heavy hex nut From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQuality Assurance Inspector Telephone number of sampler(562) 360-5216
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBristol Machine Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-092-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL 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 SpecificationN/A
Bolt Length(s)N/A Nut SpecificationASTM A563 Heavy Hex Nut Grade DH, Galv.
Washer Specificationn/a FinishASTM A563 Heavy Hex Nut Grade DH
Diameter/Size1 1/4" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s) Lubricant Requirements(s)Blue Dye

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-08-29-6-11ASTM 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 Laboratory09/28/2022Ruben Macias
Yes
09/29/2022
2022-08-29-6-12ASTM 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 Laboratory09/28/2022Ruben Macias
Yes
09/29/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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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)