Sample Record

DIME Sample ID 2026-10-07-5

Project Information

Project IdentifiersProject ID: 1001197
DEA: 07319604
EFIS: 0716000025
DIST-CO-RTE-PM07-VEN-1,101-21.3/21.9,R34.9/R36.1
Award Date09/16/2025
Closeout DateNot set
Work DescriptionREMOVE AND CONSTRUCT BRIDGE.
Location DescriptionVENTURA COUNTY ON ROUTE 1 FROM 1.8 MILES NORTH OF ROUTE 1/33 SEPARATION TO 2.0 MILES SOUTH OF A LEASE CANYON ROAD AND ON ROUTE 101 FROM 0.4 MILE NORTH OF DULAH ROAD UNDERCROSSING TO SAN MIGUELITO ROAD UNDERCROSSING
QA Service Level1 (Verified on 07/01/2025)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/07/2026 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing10/07/2026 Sample typeQuality Assurance
A brief description of the sample1"x20" ASTM F1554 grade 55 Anchor Bolts The quantity of what the sample constitutes1 Sample from 26 ea.
From where was the sample collectedFabricator First name of sampler or witnessed byOsiel
Last name of sampler or witnessed byRamirez Title of samplerQuality Assurance Inspector
Telephone number of sampler(916) 767-3535 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) FormL123-111-26
Structure unique identifier Structure name
Bid Item176 - MODIFYING LIGHTING SYSTEMS

Sample Location

Latitude 33.447628 Longitude -112.255254 Open in Google Maps

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)Na
Bolt Heat Number20948400 Nut Heat Number8000027695
Washer Heat Number240419 Nut Mfg. Lot Number(s)W000222141
Washer Mfg. Lot Number(s)E7373 Bolt Specification1554 grade 55
Bolt Length(s)20" Nut SpecificationASTM 563
Washer SpecificationF436 Bolt GalvanizationHot Dip Galvanized
Nut GalvanizationHot Dip Galvanized Washer GalvanizationHot Dip Galvanized
Bolt Diameter1.25" Nut Diameter1.25
Washer Diameter1.25 Bolt Mfg. Lot NumberLot 1
Rocap Test Requirement(s)na Lubricant Requirements(s)
Washer Inner Diameter(s) Bolt Mill SupplierCharter Steel
Nut Mill SupplierNucor Fastener Washer Mill SupplierPrestige Stamping

Submitted Tests

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