Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-12-15-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-L1.8/L3.2 |
| Award Date | 06/20/2025 |
| Closeout Date | Not set |
| Work Description | Construct I-80 WB Truck Scales |
| Location Description | CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI |
| QA Service Level | 1 (Verified on 07/10/2025) |
Sample Information
| Sample Taken Date | 12/15/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 12/22/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" x 24" |
| The quantity of what the sample constitutes | 96 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Doe |
| Title of sampler | Telephone number of sampler | (916) 838-4405 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Metal Works, Oroville, VA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S50-058-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Bolt 3140713 Nut 1000130797 Washer 32511400 | Nut Mfg. Lot Number(s) | W000282097 |
| Washer Mfg. Lot Number(s) | 0425-645 | Bolt Specification | 3/4" x 24" dom. galv. F1554-55 hex head bolt with 5-1/2" thd |
| Bolt Length(s) | 24" | Nut Specification | 3/4" dom. galv. A563-DH heavy hex nut |
| Washer Specification | 3/4" dom. galv. F436-1 hard washer | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
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Test File Attachments
DIME Test ID: 2025-12-15-3-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-12-15-3-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-12-15-3-3 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-12-15-3-4 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-12-15-3-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-10 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-11 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-12 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-13 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-14 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-15 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-16 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-17 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-18 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-12-15-3-19 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-20 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-21 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-22 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-23 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-24 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-25 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-26 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-27 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-28 ASTM E18-20 (Verified)
DIME Test ID: 2025-12-15-3-29 ASTM F606-21 (Verified)