Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-09-25-37
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000176 DEA: 034H76U4 EFIS: 0323000040 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-32-5.0/10.2 |
| Award Date | 06/17/2024 |
| Closeout Date | Not set |
| Work Description | REHABILITATE PAVEMENT, INSTALL SIGNAL, LIGHTING, DRAINAGE, & ADA RAMPS |
| Location Description | BUTTE COUNTY IN CHICO FROM MUIR AVENUE TO INTERCHANGE OF STATE ROUTES 99 AND 32 |
| QA Service Level | 1 (Verified on 04/18/2024) |
Sample Information
| Sample Taken Date | 09/25/2025 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 09/29/2025 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM F1554 GR 50 Anchor Bolt Assy |
| The quantity of what the sample constitutes | 52 Assy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
| Title of sampler | ASI | Telephone number of sampler | 916-798-7102 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Halo Structural Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Rod 54210184 04 Nut 245119 Washer 133604 | Nut Mfg. Lot Number(s) | W54001 |
| Washer Mfg. Lot Number(s) | 400136 | Bolt Specification | ASTM F155 GR50 |
| Bolt Length(s) | 42" | Nut Specification | ASTM A194 2H/DH |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 2.25" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | 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. | |||