Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-05-02-18
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
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DIST-CO-RTE-PM | 12-ORA-5-17.1/18.9 |
Award Date | 09/23/2020 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS. |
Location Description | ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 10/01/2020) |
Sample Information
Sample Taken Date | 05/02/2023 | Sample Unique Key | 18 |
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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 | 05/09/2023 |
Sample type | Quality Assurance | A brief description of the sample | A325 Bolts |
The quantity of what the sample constitutes | 12 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Edward | Last name of sampler or witnessed by | Leach |
Title of sampler | Telephone number of sampler | 7072903887 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | St. Louis Bolt | 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) | |
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Heat Number(s) | 10636190 | Nut Mfg. Lot Number(s) | 35323-201231 |
Washer Mfg. Lot Number(s) | 210074 | Bolt Specification | A325 |
Bolt Length(s) | 4.5 | Nut Specification | A563 |
Washer Specification | F436 | Finish | Mech Galv |
Diameter/Size | 1-1/8(7) | Bolt Mfg. Lot Number | M5342 |
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: 2023-05-02-18-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-05-02-18-2 ASTM F606-21 (Verified)
DIME Test ID: 2023-05-02-18-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-05-02-18-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-05-02-18-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-05-02-18-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-05-02-18-7 ASTM E18-20 (Verified)