Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-05-19-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213750 DEA: 120K0224 EFIS: 1214000097 |
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DIST-CO-RTE-PM | 12-ORA-5-14.5/17.1 |
Award Date | 03/05/2019 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS. |
Location Description | ORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING |
QA Service Level | 1 (Verified on 04/15/2019) |
Sample Information
Sample Taken Date | 05/19/2023 | Sample Unique Key | 5 |
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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 | 05/26/2023 |
Sample type | Quality Assurance | A brief description of the sample | ASTM A1554 GR55 1 1/4"-7 x36"x 4" |
The quantity of what the sample constitutes | 5 Anchor Bolts | 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 | Blue Circle Corp | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-011-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 1202044130 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554-Gr55 | |
Bolt Length(s) | 34" | Nut Specification | Unknown |
Washer Specification | Unknown | Finish | Hot Dip Galvanized ASTM F2329 |
Diameter/Size | 1 1/4 | Bolt Mfg. Lot Number | 120204413021 |
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: 2023-05-19-5-1 ASTM A370-20 (Verified)
DIME Test ID: 2023-05-19-5-2 ASTM A370-20 (Verified)
DIME Test ID: 2023-05-19-5-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-05-19-5-4 ASTM B499-09r21 (Verified)