Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-04-01-71

Project Information

Project IdentifiersProject ID: 995488
DEA: 051C9504
EFIS: 0513000018
DIST-CO-RTE-PM05-SB-101-R36.0/R37.0
Award Date07/09/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, RHMA, LIGHTING SYSTEMS, AND REPLACE BRIDGES.
Location DescriptionSANTA BARBARA COUNTY ABOUT 8.0 MILES WEST OF GOLETA FROM 0.6 MILE EAST OF REFUGIO ROAD UNDERCROSSING TO 0.4 MILE WEST OF REFUGIO ROAD UNDERCROSSING.
QA Service Level1 (Verified on 12/11/2023)

Sample Information

Sample Taken Date04/01/2026 Sample Unique Key71
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 testing04/21/2026
Sample typeQuality Assurance A brief description of the sampleA563-DH Hvy Hex Nuts
The quantity of what the sample constitutes1170 From where was the sample collectedManufacturer
First name of sampler or witnessed byEDWARD Last name of sampler or witnessed byLEACH
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales 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)21007730 Nut Mfg. Lot Number(s)BZSA
Washer Mfg. Lot Number(s)N/A Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationA563
Washer SpecificationN/A FinishGalv
Diameter/Size2-1/4" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)No Lubricant Requirements(s)yes
Washer Inner Diameter(s)0

Submitted Tests

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