Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2025-09-25-12

Project Information

Project IdentifiersProject ID: 1000176
DEA: 034H76U4
EFIS: 0323000040
DIST-CO-RTE-PM03-BUT-32-5.0/10.2
Award Date06/17/2024
Closeout DateNot set
Work DescriptionREHABILITATE PAVEMENT, INSTALL SIGNAL, LIGHTING, DRAINAGE, & ADA RAMPS
Location DescriptionBUTTE COUNTY IN CHICO FROM MUIR AVENUE TO INTERCHANGE OF STATE ROUTES 99 AND 32
QA Service Level1 (Verified on 04/18/2024)

Sample Information

Sample Taken Date09/25/2025 Sample Unique Key12
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing09/29/2025
Sample typeQuality Assurance A brief description of the sampleASTM F1554 DR 55 Anchor Bolt Assy
The quantity of what the sample constitutes104 Assy From where was the sample collectedJob Site
First name of sampler or witnessed byPaul Last name of sampler or witnessed byFarinha
Title of samplerASI Telephone number of sampler916-798-7102
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHalo Structural Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)Rod 79018344 Nut 10878070 Washer 240421 Nut Mfg. Lot Number(s)E268O1
Washer Mfg. Lot Number(s)E6873 Bolt SpecificationASTM F1554 GR55
Bolt Length(s)30" Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishHDG
Diameter/Size3/4" Bolt Mfg. Lot Number
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-09-25-12-1ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)Andrew Auvinen, CT HQ - Sacramento Structural Materials Testing Laboratory10/01/202510/01/2025
No
2025-09-25-12-2ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)Andrew Auvinen, CT HQ - Sacramento Structural Materials Testing Laboratory10/01/202510/01/2025
No

Sample File Attachments

File NameExtensionDate UploadedActions
M1001-1055 Dime Number 2025-09-25-12pdf10/02/2025   Info

Test File Attachments


DIME Test ID: 2025-09-25-12-1 ASME B1.2-83r17
DIME Test ID: 2025-09-25-12-2 ASME B1.2-83r17