Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-02-23-1

Project Information

Project IdentifiersProject ID: 1000611
DEA: 120R32U4
EFIS: 1222000054
DIST-CO-RTE-PM12-ORA-55-0.2/R17.8
Award Date02/07/2025
Closeout DateNot set
Work DescriptionCOLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM.
Location DescriptionORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM
QA Service Level1 (Verified on 09/30/2024)

Sample Information

Sample Taken Date02/23/2026 Sample Unique Key1
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 testing03/02/2026
Sample typePer Request A brief description of the sample3" Anchor Bolt Assembly
The quantity of what the sample constitutes276 From where was the sample collectedFabricator
First name of sampler or witnessed byAlexis Last name of sampler or witnessed byMillan
Title of samplerCT QA METS Inspector Telephone number of sampler9097569960
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) FormL191-024-26 Structure unique identifier
Structure name Bid Item218 - MODIFYING LIGHTING SYSTEMS

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)NA
Heat Number(s)79018795, 73126616, 190155263 Nut Mfg. Lot Number(s)BVJB
Washer Mfg. Lot Number(s)190155263 Bolt SpecificationASTM F1554 Gr 55 S-1
Bolt Length(s)75.5 Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishHDG
Diameter/Size3" Bolt Mfg. Lot Number7901879504
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA
Washer Inner Diameter(s)NA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2026-02-23-1-1ASME 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 Laboratory03/05/202603/05/2026
No
2026-02-23-1-2ASME 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 Laboratory03/05/202603/05/2026
No
2026-02-23-1-3ASME 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 Laboratory03/05/202603/05/2026
No
2026-02-23-1-4ASME 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 Laboratory03/05/202603/05/2026
No
2026-02-23-1-5ASME 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 Laboratory03/05/202603/05/2026
No
2026-02-23-1-6ASME 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 Laboratory03/05/202603/05/2026
No

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2026-02-23-1-1 ASME B1.2-83r17
DIME Test ID: 2026-02-23-1-2 ASME B1.2-83r17
DIME Test ID: 2026-02-23-1-3 ASME B1.2-83r17
DIME Test ID: 2026-02-23-1-4 ASME B1.2-83r17
DIME Test ID: 2026-02-23-1-5 ASME B1.2-83r17
DIME Test ID: 2026-02-23-1-6 ASME B1.2-83r17