Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-04-22-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001404 DEA: 120S3804 EFIS: 1220000058 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-10.0/21.3 |
| Award Date | 10/20/2025 |
| Closeout Date | Not set |
| Work Description | SLAB REPLACEMENT (RSC), RHMA-PAVING, SIGNAL AND LIGHTING MODIFICATION. |
| Location Description | ORANGE COUNTY FROM EL HORNO STREET UNDERCROSSING IN SAN JUAN CAPISTRANO TO ROUTE 405/5 SEPARATION IN IRVINE |
| QA Service Level | 1 (Verified on 09/08/2025) |
Sample Information
| Sample Taken Date | 04/22/2026 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 3" Heavy Hex Nut |
| The quantity of what the sample constitutes | 300 pcs | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 9095268064 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Circle Corporation | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L161-032-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | A244893 | Nut Mfg. Lot Number(s) | BZHN |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | N/A |
| Bolt Length(s) | N/A | Nut Specification | ASTM A194 |
| Washer Specification | N/A | Finish | ASTM A153 |
| Diameter/Size | 3" | Bolt Mfg. Lot Number | M/A |
| Rocap Test Requirement(s) | None | Lubricant Requirements(s) | None |
| Washer Inner Diameter(s) | None |
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. | |||