Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-06-04-5

Project Information

Project IdentifiersProject ID: 1001612
DEA: 051P2104
EFIS: 0521000188
DIST-CO-RTE-PM05-MON, -1-44.3
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT SOLDIER PILE WALL AND STRUCTURAL CONCRETE BARRIER SLAB.
Location DescriptionMONTEREY COUNTY NEAR BIG SUR ABOUT 1.1 MILES SOUTH OF PFEIFFER CANYON BRIDGE
QA Service Level1 (Verified on 11/03/2025)

Sample Information

Sample Taken Date06/04/2026 Sample Unique Key5
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 testing05/19/2026
Sample typeQuality Assurance A brief description of the sampleHex Bolt 1-1/4" x 24 w/6" of thread
The quantity of what the sample constitutes114 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of samplerCT METS QA INSPECTOR Telephone number of sampler8014626352
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) FormB390-053-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)1000231022 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationF1554 GR 105
Bolt Length(s)24" Nut Specificationna
Washer Specificationna FinishHDG
Diameter/Size1-1/4" Bolt Mfg. Lot Number4514
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)na

Submitted Tests

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