Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-04-09-46

Project Information

Project IdentifiersProject ID: 994366
DEA: 044J9104
EFIS: 0416000010
DIST-CO-RTE-PM04-SCL-87-0.0/6.1
Award Date04/19/2023
Closeout DateNot set
Work DescriptionCold plane AC, paving with RHMA, upgrade median CB and curb ramp.
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 85/87 SEPARATION TO 0.1 MILE NORTH OF JULIAN STREET UNDERCROSSING.
QA Service Level1 (Verified on 04/05/2023)

Sample Information

Sample Taken Date04/09/2026 Sample Unique Key46
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing04/21/2026
Sample typeQuality Assurance A brief description of the sample3/8 X 1 1/4 HDG Hex bolt
The quantity of what the sample constitutes3 of 500 From where was the sample collectedSource
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA 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) FormL115-044-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)none
Heat Number(s)1000226162 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)N/A Bolt SpecificationGr. 5 HX Cap Screw
Bolt Length(s)1-1/4 Nut Specificationnone
Washer Specificationnone FinishGalvanize
Diameter/Size3/8 Bolt Mfg. Lot Number26065673
Rocap Test Requirement(s)none Lubricant Requirements(s)none
Washer Inner Diameter(s)none

Submitted Tests

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