Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-04-15-4

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date04/15/2026 Sample Unique Key4
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 testing04/21/2026
Sample typeQuality Assurance A brief description of the sample2" X 5' ASTM F1554 Gr.55
The quantity of what the sample constitutes2 of 150 From where was the sample collectedSupplier
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUIS Lindon UT Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-049-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)None
Heat Number(s)1201069327 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationASTM F1554 Gr.55
Bolt Length(s)5' Nut SpecificationN/A
Washer SpecificationN/A Finishgalvanize
Diameter/Size2" x 5' Anchor Bolt Bolt Mfg. Lot Number1201069327
Rocap Test Requirement(s)NONE Lubricant Requirements(s)NONE
Washer Inner Diameter(s)None

Submitted Tests

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