Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-09-24-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000176 DEA: 034H76U4 EFIS: 0323000040 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-32-5.0/10.2 |
| Award Date | 06/17/2024 |
| Closeout Date | Not set |
| Work Description | REHABILITATE PAVEMENT, INSTALL SIGNAL, LIGHTING, DRAINAGE, & ADA RAMPS |
| Location Description | BUTTE COUNTY IN CHICO FROM MUIR AVENUE TO INTERCHANGE OF STATE ROUTES 99 AND 32 |
| QA Service Level | 1 (Verified on 04/18/2024) |
Sample Information
| Sample Taken Date | 09/24/2025 | Sample Unique Key | 15 |
|---|---|---|---|
| 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″ x30" F1554 Grade 55 double end stud assemblies w/ nuts & washers |
| The quantity of what the sample constitutes | 26 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohammad Rafi | Last name of sampler or witnessed by | Yousufzai |
| Title of sampler | QAI | Telephone number of sampler | 9164300332 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Charter Steel/Capital Steel &Wire | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S96-015-25 | Structure unique identifier | |
| Structure name | Retaining wall | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 20994440 | Nut Mfg. Lot Number(s) | 100022218321 |
| Washer Mfg. Lot Number(s) | 58888919 | Bolt Specification | ASTM F1554 Grade 105. |
| Bolt Length(s) | 30" | Nut Specification | ASTM A194 2H Heavy Hex Nuts. |
| Washer Specification | ASTM F436. | Finish | Hot dip Galvanized |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | 20994440 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | Not required | |
| 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. | |||