Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-03-15-1
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Project Information
| Project Identifiers | Project ID: 994267 DEA: 07326204 EFIS: 0716000113 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-39-17.8 |
| Award Date | 11/23/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BRIDGE, PLACE STRUCTURAL STEEL AND CONCRETE BARRIER. |
| Location Description | LOS ANGELES COUNTY IN AZUSA AT SAN GABRIEL RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/06/2022) |
Sample Information
| Sample Taken Date | 03/15/2024 | 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 | 03/19/2024 |
| Sample type | Quality Assurance | A brief description of the sample | A325 HDG Type 1 |
| The quantity of what the sample constitutes | 21 Bolts | From where was the sample collected | Source |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | QA Inspector | Telephone number of sampler | 9167673535 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cordova Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-017-24 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | 76829-1 |
|---|---|---|---|
| Heat Number(s) | 3121459, 8000010207, 128064 | Nut Mfg. Lot Number(s) | 459484A |
| Washer Mfg. Lot Number(s) | 0123-596 | Bolt Specification | A325 |
| Bolt Length(s) | 33" | Nut Specification | A563 GR 1045L |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 1 1/2" | Bolt Mfg. Lot Number | 76829-3 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-15-1-1 ASTM A370-20 (Verified)
DIME Test ID: 2024-03-15-1-2 ASTM A370-20 (Verified)