Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-03-24-56

Project Information

Project IdentifiersProject ID: 1001329
DEA: 100X7404
EFIS: 1013000008
DIST-CO-RTE-PM10-CAL-12-17.1/17.5
Award Date09/03/2025
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT.
Location DescriptionCALAVERAS COUNTY NEAR SAN ANDREAS FROM 0.2 MILE WEST OF NORTH FORK CALAVERAS RIVER BRIDGE TO 0.2 MILE EAST OF NORTH CALAVERAS RIVER BRIDGE
QA Service Level1 (Verified on 06/16/2025)

Sample Information

Sample Taken Date03/24/2026 Sample Unique Key56
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 testing04/01/2026
Sample typeStock A brief description of the sample2 1/2" F436 Flat Washer
The quantity of what the sample constitutes25 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byAlvarez
Title of samplerQA Inspector Telephone number of sampler2094609526
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales (UIS) Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)132054 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)132054 Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationN/A
Washer SpecificationF436 FinishHDG
Diameter/Size2 1/2" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)0 Lubricant Requirements(s)0
Washer Inner Diameter(s)0

Submitted Tests

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