Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-07-24-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000117 DEA: 020J0104 EFIS: 0219000044 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-99-4.2/4.8 |
| Award Date | 07/11/2024 |
| Closeout Date | Not set |
| Work Description | PLACE HMA, CCTV TOWER AND INSTALL LIGHTING SYSTEM. |
| Location Description | TEHAMA COUNTY ABOUT 7.0 MILES SOUTH OF LOS MOLINOS FROM 0.3 MILE SOUTH OF SOUTH AVENUE TO 0.6 MILE SOUTH OF VINA ROAD |
| QA Service Level | 1 (Verified on 03/18/2024) |
Sample Information
| Sample Taken Date | 07/24/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 08/04/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 5/8" Threaded Rod |
| The quantity of what the sample constitutes | 48 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Alvarez |
| Title of sampler | Telephone number of sampler | 2094301848 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Tower Company | 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) | |
|---|---|---|---|
| Heat Number(s) | 10303650 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | Bolt Specification | A193 Grade B7 | |
| Bolt Length(s) | Nut Specification | N/A | |
| Washer Specification | N/A | Finish | Hot Dip |
| Diameter/Size | 5/8" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
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. | |||||||||