Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-08-12-1
Sample Details QR Code
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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 | 08/12/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/14/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 2" Flat Washer |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Alexis | Last name of sampler or witnessed by | Millan |
| Title of sampler | QA | Telephone number of sampler | (909)756-9960 |
| Laboratory sample identification | Linked DIME Sample ID | 2025-07-23-1 | |
| The fabricator/manufacturer/facility name | Madden Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L191-010-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NA |
|---|---|---|---|
| Heat Number(s) | 42507860 | Nut Mfg. Lot Number(s) | NA |
| Washer Mfg. Lot Number(s) | 0425-622 | Bolt Specification | NA |
| Bolt Length(s) | NA | Nut Specification | NA |
| Washer Specification | ASTM F436 | Finish | ASTM F2329 |
| Diameter/Size | 2" | Bolt Mfg. Lot Number | NA |
| Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | NA |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-08-12-1-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-12-1-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-12-1-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-08-12-1-4 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-12-1-5 ASTM E18-20 (Verified)
DIME Test ID: 2025-08-12-1-6 ASTM E18-20 (Verified)