Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-03-16-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 |
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DIST-CO-RTE-PM | 03-SAC-50-L0.2/R6.1 |
Award Date | 06/30/2020 |
Closeout Date | Not set |
Work Description | Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC |
Location Description | FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE |
QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
Sample Taken Date | 03/16/2023 | Sample Unique Key | 1 |
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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 | 03/16/2023 |
Sample type | Quality Assurance | A brief description of the sample | 2 1/4" -4.5 x 58" ASTM F1554 gr 55 galv anchor bolt |
The quantity of what the sample constitutes | 25 QTY anchor bolts | 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 | Blue Circle Corp | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L166-027-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 1202045057 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | Bolt Specification | F1554 gr 55 | |
Bolt Length(s) | 58" | Nut Specification | N/ A |
Washer Specification | N/ A | Finish | ASTM A123, ASTM A153A |
Diameter/Size | 2 1/4" -4.5 | Bolt Mfg. Lot Number | Nucor 120204505720 |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-03-16-1-1 ASTM A370-20 (Verified)
DIME Test ID: 2023-03-16-1-2 ASTM A370-20 (Verified)
DIME Test ID: 2023-03-16-1-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-03-16-1-4 ASTM B499-09r21 (Verified)