Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2026-06-16-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001248 DEA: 120K93U4 EFIS: 1224000084 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57,91-13.9/16.1,4.8/6.6 |
| Award Date | 10/20/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS. |
| Location Description | ANAHEIM AND PLACENTIA ON ROUTE 57 FROM WAGNER AVENUE OVERCROSSING TO 0.2 MILE NORTH OF MIRALOMA AVENUE OVERCROSSING AND ON ROUTE 91 FROM 0.1 MILE EAST OF ACACIA STREET UNDERCROSSING TO 0.2 MILE EAST OF LA PALMA AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 06/16/2025) |
Sample Information
| Sample Taken Date | 06/16/2026 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 06/26/2026 |
| Sample type | Stock | A brief description of the sample | 2-1/2" F436 Flat Washers |
| The quantity of what the sample constitutes | 3300 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 415-608-1742 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | UIS | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-155-26 | 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) | 140086 | Nut Mfg. Lot Number(s) | xxx |
| Washer Mfg. Lot Number(s) | 55419 | Bolt Specification | xxx |
| Bolt Length(s) | xxx | Nut Specification | xxx |
| Washer Specification | F436 | Finish | HDG |
| Diameter/Size | 2-1/2" | Bolt Mfg. Lot Number | xxx |
| Rocap Test Requirement(s) | xxx | Lubricant Requirements(s) | xxx |
| Washer Inner Diameter(s) | xxx |
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. | |||