Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-10-14-1
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 | 10/14/2025 | 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 | 10/23/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3" x 54" Anchor Bolt ASTM F1554 GR 55 assmebly |
| The quantity of what the sample constitutes | 13 pcs | From where was the sample collected | Source |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Quality Assurance | Telephone number of sampler | 9095268064 |
| Laboratory sample identification | Linked DIME Sample ID | L161-020-25 | |
| The fabricator/manufacturer/facility name | Madden Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CCTV 90' pole | Bid Item | 18 - INTELLIGENT TRANSPORTATION SYSTEMS (ITS) |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Anchor Bolt A223782, Hex Nut Black C216462, Washer 140694, Hex Nut Galv A245401 | Nut Mfg. Lot Number(s) | Hex Nut Black BMAO, Hex Nut Galv BWCJ |
| Washer Mfg. Lot Number(s) | Washer 140694 / 49464 | Bolt Specification | ASTM F1554 Gr 55 |
| Bolt Length(s) | 54" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | ASTM A153 |
| Diameter/Size | 3" | Bolt Mfg. Lot Number | Anchor Bolt A223782 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Wax | |
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-14-1-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-10-14-1-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-10-14-1-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-10-14-1-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-10-14-1-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-10-14-1-6 ASTM E18-20 (Verified)
DIME Test ID: 2025-10-14-1-7 ASTM E18-20 (Verified)
DIME Test ID: 2025-10-14-1-8 ASTM E18-20 (Verified)
DIME Test ID: 2025-10-14-1-9 ASTM E18-20 (Verified)
DIME Test ID: 2025-10-14-1-10 ASTM E18-20 (Verified)
DIME Test ID: 2025-10-14-1-11 ASTM F606-21 (Verified)