Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-04-16-4
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 | 04/16/2026 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 04/21/2026 |
| Sample type | Quality Assurance | A brief description of the sample | .5"x6" A325 Bolts .5" A563 Nuts .5" F436 Washers |
| The quantity of what the sample constitutes | 10 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | JAYCE | Last name of sampler or witnessed by | GROVES |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CraneVeyor Corp | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L196-041-26 | Structure unique identifier | |
| Structure name | Bid Item | 17 - SIGNING, STRIPING, SIGNAL, LIGHTING |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | Bolts 10889460 Nuts 1000124630 Wahers 190156535 | Nut Mfg. Lot Number(s) | W000165726 |
| Washer Mfg. Lot Number(s) | 100012463020 | Bolt Specification | A325-1 |
| Bolt Length(s) | 6" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Galvanized |
| Diameter/Size | 1/2" | Bolt Mfg. Lot Number | 071024-1BR |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) | half inch |
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. | |||