Sample Record
DIME Sample ID 2025-11-20-4
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Project Information
| Project Identifiers | Project ID: 1000611 DEA: 120R32U4 EFIS: 1222000054 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55-0.2/R17.8 |
| Award Date | 02/07/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM. |
| Location Description | ORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM |
| QA Service Level | 1 (Verified on 09/30/2024) |
Owner Lab
- CT HQ - QASI Sacramento Field Office
Sample Information
| Sample Taken Date | 11/20/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/26/2025 | Sample type | Quality Assurance |
| A brief description of the sample | 3" x 75-1/2" anchor bolts | The quantity of what the sample constitutes | 281 pcs |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Joaquin |
| Last name of sampler or witnessed by | Moreno | Title of sampler | Quality Assurance |
| Telephone number of sampler | 9095268064 | Laboratory sample identification | |
| Linked DIME Sample ID | 2025-11-20-4 | The fabricator/manufacturer/facility name | Halo Structural Products |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | L161-032-25 | |
| Structure unique identifier | Structure name | ||
| Bid Item | 219 - MODIFYING SIGNAL AND LIGHTING SYSTEMS |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 79018795 73126616 190155263 | Nut Mfg. Lot Number(s) | BRAX / 73126616 |
| Washer Mfg. Lot Number(s) | 190155263 | Bolt Specification | ASTM F1554 |
| Bolt Length(s) | 75-1/2" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | ASTM A123, ASTM A153 |
| Diameter/Size | 3" | Bolt Mfg. Lot Number | 79018795 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) | Bolt Mill Supplier | Not set | |
| Nut Mill Supplier | Not set | Washer Mill Supplier | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-11-20-4-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-11-20-4-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-11-20-4-3 ASME B1.2-83r17 (Verified)