Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

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)

Sample Information

Sample Taken Date03/24/2026 Sample Unique Key57
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" 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

Submitted Tests

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