Sample Record

DIME Sample ID 2026-03-24-57

Project Information

Project IdentifiersProject ID: 994443
DEA: 053307C4
EFIS: 0514000028
DIST-CO-RTE-PM05-SLO-41,46-44.5/45.3,54.0/57.8
Award Date02/27/2023
Closeout DateNot set
Work DescriptionWye Segment - Route 41/46 Separation
Location DescriptionNot set
QA Service Level1 (Verified on 12/16/2022)

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date03/24/2026 Sample Unique Key57
Date that the sample was received by the laboratory/organization performing the testing04/01/2026 Sample typeStock
A brief description of the sample2" F436 Flat Washer The quantity of what the sample constitutes80
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)190H01298 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)E8798 Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationN/A
Washer SpecificationF436 FinishHDG
Diameter/Size2" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)0 Lubricant Requirements(s)0
Washer Inner Diameter(s)0 Bolt Mill SupplierNot set
Nut Mill SupplierNot set Washer Mill SupplierNot set

Submitted Tests

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