Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-12-01-4

Project Information

Project IdentifiersProject ID: 1000403
DEA: 120K91U4
EFIS: 1222000031
DIST-CO-RTE-PM12-ORA-91-R9.2/R11.4
Award Date01/03/2025
Closeout DateNot set
Work DescriptionCONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
QA Service Level1 (Verified on 08/19/2024)

Sample Information

Sample Taken Date12/01/2025 Sample Unique Key4
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 testing12/03/2025
Sample typeQuality Assurance A brief description of the sample2.25"-4.5 X 54" Galvanized F1554 Gr. 55 S1 Bolts
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byJayce Last name of sampler or witnessed byGroves
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Circle Corp 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)1202071637 Nut Mfg. Lot Number(s)
Washer Mfg. Lot Number(s) Bolt SpecificationF1554 Gr. 55
Bolt Length(s)54" Nut SpecificationN/A
Washer SpecificationN/A FinishHDG
Diameter/Size2.25" 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
2025-12-01-4-1ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)Kevin De Souza, CT HQ - Sacramento Structural Materials Testing Laboratory12/04/202512/04/2025
No

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Test File Attachments


DIME Test ID: 2025-12-01-4-1 ASME B1.2-83r17