Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-05-31-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK |
|---|---|
| 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 |
|---|---|---|---|
| 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) | |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||