Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-05-19-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001438 DEA: 051M4004 EFIS: 0519000136 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-9-6.3/7.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CONSTRUCT SIDEWALKS, CURB RAMPS, DRIVEWAYS AND RETAINING WALLS. |
| Location Description | SANTA CRUZ COUNTY FROM 0.1 MILE NORTH OF KIRBY STREET TO 0.1 MILE NORTH OF FALL CREEK DRIVE |
| QA Service Level | 1 (Verified on 07/28/2025) |
Sample Information
| Sample Taken Date | 05/19/2026 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Hex Bolt |
| The quantity of what the sample constitutes | 57 | 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 | Telephone number of sampler | ||
| 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 | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 256375 | Nut Mfg. Lot Number(s) | na |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | F1554 gr 105 |
| Bolt Length(s) | 18" | Nut Specification | na |
| Washer Specification | na | Finish | HDG |
| Diameter/Size | 1-1/4 | Bolt Mfg. Lot Number | 67193 |
| 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. | |||