Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-07-23-4
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 | 07/23/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 08/04/2025 |
| Sample type | Quality Assurance | A brief description of the sample | F1554 Anchor Rods Nut Washers |
| The quantity of what the sample constitutes | 1 of 33 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 7029172503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Madden Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-089-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 58064060, 20978530 HDG, 20947830 Plain, 147391 | Nut Mfg. Lot Number(s) | BZBA HDG, BVXX PLAIN |
| Washer Mfg. Lot Number(s) | 1224-491 | Bolt Specification | F1554 |
| Bolt Length(s) | 60" | Nut Specification | A563-15 GR.2H |
| Washer Specification | F436 | Finish | A153 |
| Diameter/Size | 1-3/4" x 60" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-07-23-4-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-07-23-4-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-07-23-4-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-07-23-4-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-07-23-4-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-07-23-4-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-07-23-4-7 ASTM E18-20 (Verified)
DIME Test ID: 2025-07-23-4-8 ASTM E18-20 (Verified)
DIME Test ID: 2025-07-23-4-9 ASTM E18-20 (Verified)
DIME Test ID: 2025-07-23-4-10 ASTM E18-20 (Verified)
DIME Test ID: 2025-07-23-4-11 ASTM E18-20 (Verified)
DIME Test ID: 2025-07-23-4-12 ASTM E18-20 (Verified)
DIME Test ID: 2025-07-23-4-13 ASTM F606-21 (Verified)
