Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-02-25-53
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Project Information
| Project Identifiers | Project ID: 1000561 DEA: 010J8904 EFIS: 0119000119 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-3.9/6.0 |
| Award Date | 12/06/2024 |
| Closeout Date | Not set |
| Work Description | HOT MIX ASPHALT, AGGREGATE BASE, AND STRUCTURAL CONCRETE. |
| Location Description | HUMBOLDT COUNTY AT CARLOTTA FROM 0.2 MILE WEST OF FISHER ROAD TO 0.2 MILE WEST OF WILDER ROAD |
| QA Service Level | 1 (Verified on 09/23/2024) |
Sample Information
| Sample Taken Date | 02/25/2026 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 testing | 02/25/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Hex Bolt |
| The quantity of what the sample constitutes | 500 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 8014626352 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Industrial Sales, Inc. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-024-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 1000117297 | Nut Mfg. Lot Number(s) | na |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | A449 |
| Bolt Length(s) | 1-1/4" | Nut Specification | na |
| Washer Specification | na | Finish | HDG |
| Diameter/Size | 3/8" | Bolt Mfg. Lot Number | 117003 |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
| Washer Inner Diameter(s) | na |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||