Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-11-17-4
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Project Information
| Project Identifiers | Project ID: 1000402 DEA: 11430384 EFIS: 1118000114 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-23.7/28.5 |
| Award Date | 10/09/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE DRAINAGE, CONCRETE PAVEMENT, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | SAN DIEGO COUNTY IN SAN DIEGO FROM 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION TO ROUTE 5/805 SEPARATION |
| QA Service Level | 1 (Verified on 11/18/2024) |
Sample Information
| Sample Taken Date | 11/17/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 11/20/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" F436 HDG wahsers |
| The quantity of what the sample constitutes | 25 washers | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Jacob Garcia | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA Inspector | Telephone number of sampler | 7606866753 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ababa Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L169-075-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 22911292 | Nut Mfg. Lot Number(s) | |
| Washer Mfg. Lot Number(s) | GTR23538546C07 | Bolt Specification | N/A |
| Bolt Length(s) | Nut Specification | N/A | |
| Washer Specification | F436 | Finish | ASTM A153/F2329 |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-11-17-4-1 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-11-17-4-2 ASTM E18-20 (Verified)