Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-12-19-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 12/19/2022 | 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 | 12/29/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" diam. x 18" F1554 gr 105 threaded anchor rod |
| The quantity of what the sample constitutes | 14 QTY of 3/4" diam. x 18" F1554 gr 105 threaded anchor rod | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Henry | Last name of sampler or witnessed by | Arredondo |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 5623329603 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CraneVeyor Corp | 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) | 10776160 | Nut Mfg. Lot Number(s) | Unytite Inc 35625-5804750603 |
| Washer Mfg. Lot Number(s) | Industrial Threaded Prod 161995 | Bolt Specification | F1554 gr 105 |
| Bolt Length(s) | Nut Specification | A563 | |
| Washer Specification | F436 | Finish | Hot Dip Galv. HDG |
| Diameter/Size | 3/4" x 18" | Bolt Mfg. Lot Number | Vulcan Treaded Products 2209014-15 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-12-19-1-1 ASTM F606-21 (Verified)
DIME Test ID: 2022-12-19-1-2 ASTM F606-21 (Verified)
DIME Test ID: 2022-12-19-1-3 ASTM A370-20 (Verified)
DIME Test ID: 2022-12-19-1-4 ASTM A370-20 (Verified)
DIME Test ID: 2022-12-19-1-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-7 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-8 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-9 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-10 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-11 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-12 ASME B1.2-83r17 (Verified)
DIME Test ID: 2022-12-19-1-13 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-14 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-15 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-16 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-17 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-18 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-19 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-20 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-21 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-22 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-23 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-24 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-25 ASTM B499-09r21 (Verified)
DIME Test ID: 2022-12-19-1-26 ASTM E18-20 (Verified)
DIME Test ID: 2022-12-19-1-27 ASTM E18-20 (Verified)
DIME Test ID: 2022-12-19-1-28 ASTM E18-20 (Verified)