Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-11-08-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214487 DEA: 120Q9304 EFIS: 1217000128 |
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DIST-CO-RTE-PM | 12-ORA-5,133,241-122,241-var |
Award Date | 05/09/2022 |
Closeout Date | Not set |
Work Description | 12-0Q930, SHOPP RESERVATION BRIDGE PROJECT - BRIDGE UPGRADE, WINGWALL, SUBSTRUCTURE, DECK, SPALL, JOINT SEAL, CONC. |
Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
Sample Taken Date | 11/08/2023 | 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 | 11/13/2023 |
Sample type | Quality Assurance | A brief description of the sample | A325 Fastener Assemblies |
The quantity of what the sample constitutes | 400 Qty. A325 fastener assemblies | 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 METS QA INSPECTOR | Telephone number of sampler | 5623329603 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cordova Bolt Inc. Buena Park, CA. | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L166-118-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
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Heat Number(s) | 1000118723, 20833010, 42325080 | Nut Mfg. Lot Number(s) | E589J1 |
Washer Mfg. Lot Number(s) | 0823-822 | Bolt Specification | ASTM A325 |
Bolt Length(s) | 3 | Nut Specification | ASTM A563 |
Washer Specification | ASTM F436 | Finish | Plain |
Diameter/Size | 3/4" -10 | Bolt Mfg. Lot Number | W000032472 |
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: 2023-11-08-2-1 ASTM F606-21 (Verified)
DIME Test ID: 2023-11-08-2-2 ASTM F606-21 (Verified)
DIME Test ID: 2023-11-08-2-3 ASTM F606-21 (Verified)
DIME Test ID: 2023-11-08-2-4 ASTM F606-21 (Verified)
DIME Test ID: 2023-11-08-2-5 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-11-08-2-6 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-11-08-2-7 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-11-08-2-8 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-11-08-2-9 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-11-08-2-10 ASME B1.2-83r17 (Verified)
DIME Test ID: 2023-11-08-2-11 ASTM E18-20 (Verified)
DIME Test ID: 2023-11-08-2-12 ASTM E18-20 (Verified)
DIME Test ID: 2023-11-08-2-13 ASTM E18-20 (Verified)