Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-03-17-54

Project Information

Project IdentifiersProject ID: 210094
DEA: 040G3604
EFIS: 0400000326
COOP: 042553A1,042981
DIST-CO-RTE-PM04-ALA-880,880-31.0/32.4
Award Date08/08/2025
Closeout DateNot set
Work DescriptionI-880 BROADWAY/ JACKSON INTERCHANGE: Modify Ramps, Hma Pvmt, Bridges, Drainage, Signals, Sw And Bikeway
Location DescriptionIN ALA COUNTY
QA Service Level1 (Verified on 10/17/2024)

Sample Information

Sample Taken Date03/17/2026 Sample Unique Key54
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 sampleAnchor Bolts with Threaded Ends
The quantity of what the sample constitutes300 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)1202072801 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationASTM F1554 gr 55
Bolt Length(s)5' Nut Specificationna
Washer Specificationna FinishPlain/HDG
Diameter/Size2-1/2" Bolt Mfg. Lot Numberheat # 1201066993
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)888

Submitted Tests

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