Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-09-05-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 09/05/2025 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" X 11" ASTM F1554 GR 105 |
| The quantity of what the sample constitutes | 430 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
| Title of sampler | Telephone number of sampler | 5304010199 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | L&B Metal product Fabrication | 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) | 58064340 - Bolt 1000129174 - Nut | Nut Mfg. Lot Number(s) | W000241461 |
| Washer Mfg. Lot Number(s) | Bolt Specification | ASTM F1554 Gr. 105 | |
| Bolt Length(s) | 11" | Nut Specification | ASTM A194 |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Yes Green | |
| 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. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||