Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-02-22-1
Project Information
| Project Identifiers | Project ID: 1000207 DEA: 060Q4324 EFIS: 0619000026 COOP: 061730 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-190-13.1/16.6 |
| Award Date | 06/27/2025 |
| Closeout Date | Not set |
| Work Description | HMA, MINOR CONCRETE AND JPCP. |
| Location Description | TULARE COUNTY IN AND NEAR PORTERVILLE AT VARIOUS LOCATIONS FROM 0.2 MILE WEST OF WESTWOOD STREET TO 0.1 MILE EAST OF SOUTH MAIN STREET |
| QA Service Level | 1 (Verified on 03/25/2024) |
Sample Information
| Sample Taken Date | 02/22/2026 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/02/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/2(6)X 4" A325-1 BOLT HDG |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Garcia Arreola |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ST. LOUIS SCREW & BOLT | 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) | Final163,461 lbs. |
|---|---|---|---|
| Heat Number(s) | Bolt 20980870 Hex Nut 21000550 Washer 190H01696 | Nut Mfg. Lot Number(s) | 43252-21000550 |
| Washer Mfg. Lot Number(s) | 50731-190H01696 | Bolt Specification | 1-1/2(6)X 4" A325-1 BOLT HDG |
| Bolt Length(s) | 4" | Nut Specification | 1-1/2(6) HVY HEX NUT A563-DH HDG WAX/DYE |
| Washer Specification | 1-1/2 F436-1 STRUCTURAL WASHER HDG | Finish | HDG |
| Diameter/Size | 1-1/2 | Bolt Mfg. Lot Number | 42481-20980870 |
| Rocap Test Requirement(s) | NA | Lubricant Requirements(s) | NA |
| Washer Inner Diameter(s) | NA |
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. | |||
