Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-05-31-1

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/31/2023 Sample Unique Key1
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 testing06/05/2023
Sample typeQuality Assurance A brief description of the sampleF1554 gr. 55 1" -8 x 24" x 4" anchor bolts
The quantity of what the sample constitutes55 anchor bolts From where was the sample collectedFabricator
First name of sampler or witnessed byHenry Last name of sampler or witnessed byArredondo
Title of samplerCaltrans QA Mets Inspector Telephone number of sampler5623329603
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)1202047141 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationASTM F1554 gr. 55
Bolt Length(s)24" x 4" Nut Specificationn/ a
Washer Specificationn/ a FinishF2329
Diameter/Size1" -8 Bolt Mfg. Lot Number120204714160
Rocap Test Requirement(s) Lubricant Requirements(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments