Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-05-31-1
Project Information
Project Identifiers | Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 05/31/2023 | 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 | 06/05/2023 |
Sample type | Quality Assurance | A brief description of the sample | F1554 gr. 55 1" -8 x 24" x 4" anchor bolts |
The quantity of what the sample constitutes | 55 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 QA Mets 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 | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 1202047141 | Nut Mfg. Lot Number(s) | |
Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 gr. 55 | |
Bolt Length(s) | 24" x 4" | Nut Specification | n/ a |
Washer Specification | n/ a | Finish | F2329 |
Diameter/Size | 1" -8 | Bolt Mfg. Lot Number | 120204714160 |
Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |