Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-01-09-15
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Project Information
| Project Identifiers | Project ID: 215365 DEA: 120Q9704 EFIS: 1218000010 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-405-0/11.4 |
| Award Date | 07/27/2023 |
| Closeout Date | Not set |
| Work Description | I-405 improvement project from I-5 to Harbor Boulevard including extend pavement life, improve safety, enhance traffic operation, and incorporate Intelligent Transportation Systems (ITS). |
| Location Description | Orange County I-405 PM 0 - 11.4 |
| QA Service Level | 1 (Verified on 07/01/2021) |
Sample Information
| Sample Taken Date | 01/09/2026 | Sample Unique Key | 15 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 5/8(11)X 4" A325-1 BOLT HDG |
| The quantity of what the sample constitutes | 55 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 Inspector | Telephone number of sampler | 9095268064 |
| Laboratory sample identification | Linked DIME Sample ID | 2026-01-09-15 | |
| The fabricator/manufacturer/facility name | St.Louis Screw and Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L161-001-26 | Structure unique identifier | |
| Structure name | Bid Item | 17 - SIGNING, STRIPING, SIGNAL, LIGHTING |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | TT0197011 |
|---|---|---|---|
| Heat Number(s) | Bolt-E646T1, Nut-W000152610, Wash-46538-142222 | Nut Mfg. Lot Number(s) | Nut-W000152610 |
| Washer Mfg. Lot Number(s) | Wash-46538-142222 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 4" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436-1 | Finish | ASTM A153, ASTM F2329 |
| Diameter/Size | 5/8" | Bolt Mfg. Lot Number | Bolt-E646T1 |
| Rocap Test Requirement(s) | Max. Torque | Lubricant Requirements(s) | |
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||