Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-05-19-9

Project Information

Project IdentifiersProject ID: 1001438
DEA: 051M4004
EFIS: 0519000136
DIST-CO-RTE-PM05-SCR-9-6.3/7.2
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT SIDEWALKS, CURB RAMPS, DRIVEWAYS AND RETAINING WALLS.
Location DescriptionSANTA CRUZ COUNTY FROM 0.1 MILE NORTH OF KIRBY STREET TO 0.1 MILE NORTH OF FALL CREEK DRIVE
QA Service Level1 (Verified on 07/28/2025)

Sample Information

Sample Taken Date05/19/2026 Sample Unique Key9
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 testing06/04/2026
Sample typeQuality Assurance A brief description of the sampleHex Bolt 1-1/4" x 24 w/8" Thread
The quantity of what the sample constitutes1800 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales, Inc. 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)na
Heat Number(s)10921720 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationA325
Bolt Length(s)3" Nut Specificationna
Washer Specificationna Finishplain
Diameter/Size1/2" Bolt Mfg. Lot NumberE161S1
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)na

Submitted Tests

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