Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-07-11-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 |
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DIST-CO-RTE-PM | 12-ORA-405,73,405,605-9.3/24.3 |
Award Date | 11/07/2016 |
Closeout Date | Not set |
Work Description | (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP. |
Location Description | Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2 |
QA Service Level | 1 (Verified on 09/10/2015) |
Sample Information
Sample Taken Date | 07/11/2023 | Sample Unique Key | 2 |
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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 | 07/17/2023 |
Sample type | Quality Assurance | A brief description of the sample | F1554 Grade 55 HDG Anchor Bolts |
The quantity of what the sample constitutes | 26 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
Title of sampler | QA Inspector | Telephone number of sampler | 562 442 0352 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Bristol Machine | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-082-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | Bolt 120203163960 Nut 223652 Washer 32028550 | Nut Mfg. Lot Number(s) | 37097-223652 |
Washer Mfg. Lot Number(s) | 164383 | Bolt Specification | ASTM F1554 Grade 55 |
Bolt Length(s) | 17" | Nut Specification | ASTM A563 DH |
Washer Specification | ASTM F436 | Finish | HDG |
Diameter/Size | 7/8" | Bolt Mfg. Lot Number | 120203163960 |
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: 2023-07-11-2-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-07-11-2-2 ASTM A370-20 (Verified)
DIME Test ID: 2023-07-11-2-3 ASTM A370-20 (Verified)
DIME Test ID: 2023-07-11-2-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-07-11-2-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-07-11-2-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-07-11-2-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-07-11-2-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2023-07-11-2-9 ASTM E18-20 (Verified)