Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-23-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001538 DEA: 07350704 EFIS: 0719000039 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405,5,101,105,405-19.2/25.95 |
| Award Date | 06/05/2025 |
| Closeout Date | Not set |
| Work Description | LA-405 TMS Upgrades near LAX (Active Traffic Management and Integrated Corridor Management) Installing new sign structures with CMS |
| Location Description | Interstate 405 near LAX Airport |
| QA Service Level | 1 (Verified on 10/07/2025) |
Sample Information
| Sample Taken Date | 06/23/2026 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 06/03/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 2.5" X 60" ROD F1554 Gr. 55 (18" GALV) 12" Top 6" Bottom |
| The quantity of what the sample constitutes | 266 | From where was the sample collected | Supplier |
| 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 | Madden Bolt | 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) | N/A |
|---|---|---|---|
| Heat Number(s) | 20810200, 32507650, 21009800, W6C834, 591291186 | Nut Mfg. Lot Number(s) | DEHC, BZMZ |
| Washer Mfg. Lot Number(s) | 0425-637 | Bolt Specification | F1554 |
| Bolt Length(s) | 60" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Galvanized and bare |
| Diameter/Size | 2.5" | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | NO | Lubricant Requirements(s) | NO |
| Washer Inner Diameter(s) | Four point Six two five inches |
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. | |||