Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-03-17-52

Project Information

Project IdentifiersProject ID: 1000365
DEA: 033H9014
EFIS: 0323000075
DIST-CO-RTE-PM03-SOL,YOL-50,80,113-Var
Award Date09/27/2024
Closeout DateNot set
Work DescriptionHMA, RHMA, SIGN STRUCTURE, CAMERA SYSTEMS, & FO CABLE SYSTEMS.
Location DescriptionSOLANO AND YOLO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/17/2024)

Sample Information

Sample Taken Date03/17/2026 Sample Unique Key52
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 testing03/26/2026
Sample typeQuality Assurance A brief description of the sampleAll Thread Anchor Bolts
The quantity of what the sample constitutes500 From where was the sample collectedFabricator
First name of sampler or witnessed byJamie Last name of sampler or witnessed byDoe
Title of samplerQuality Assurance Inspector Telephone number of sampler916-838-4505
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS50-022-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)1000229370 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationASTM F1554 gr 105
Bolt Length(s)10" Nut Specificationna
Washer Specificationna FinishHDG
Diameter/Size7/8" Bolt Mfg. Lot Numberheat # 1000229370
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)888

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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