Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-04-02-43

Project Information

Project IdentifiersProject ID: 215741
DEA: 01366004
EFIS: 0100000127
DIST-CO-RTE-PM01-HUM-101-80.0/84.0
Award Date12/29/2022
Closeout DateNot set
Work DescriptionIndianola Cutoff UC
Location DescriptionHUMBOLDT COUNTY NEAR EUREKA FROM EUREKA SLOUGH BRIDGE TO BAYSIDE CUTOFF
QA Service Level1 (Verified on 05/17/2021)

Sample Information

Sample Taken Date04/02/2026 Sample Unique Key43
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleF1554 anchor rods
The quantity of what the sample constitutes288 From where was the sample collectedFabricator
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)1201072766 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationF1554
Bolt Length(s)5' Nut SpecificationN/A
Washer SpecificationN/A FinishGalv
Diameter/Size2-1/2" Bolt Mfg. Lot Number120107276620
Rocap Test Requirement(s)No Lubricant Requirements(s)No
Washer Inner Diameter(s)No

Submitted Tests

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