Sample Record for 2026-06-25-28
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995204 DEA: 07325804 EFIS: 0716000090
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1-18.0/33.3
Work Description: COLD PLANE AND OVERLAY ASPHALT CONCRETE PAVEMENT, INSTALL CURB RAMPS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 1 FROM PASEO DE LAS DELICIAS TO DEWEY STREET
Contractor Name: RJ Noble Company
Contractor Address: 15505 E. Lincoln Ave, Orange, CA 92865
Resident Engineer: Huy Ngo Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-06-25-28
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/06/2026
The quantity of what the sample constitutes: 49
A brief description of the sample: 3" x 60" Double End Studs
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Halo
Material Information
Rocap Number(s): No
Heat Number(s): 256622, A244893, 140694, 190155263
Nut Mfg. Lot Number(s): BZHN
Washer Mfg. Lot Number(s): S3323675
Bolt Specification: F1554
Bolt Length(s): 60"
Nut Specification: A563
Washer Specification: F436
Finish: Galvanized
Diameter/Size: 3
Bolt Mfg. Lot Number: 256622
Rocap Test Requirement(s): No
Lubricant Requirements(s): No
Washer Inner Diameter(s): three inches and one eighth
Test Results
Test
DIME Test ID: 2026-06-25-28-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
Data has not been verified.
