Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-25-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001197 DEA: 07319604 EFIS: 0716000025 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-1,101-21.3/21.9,R34.9/R36.1 |
| Award Date | 09/16/2025 |
| Closeout Date | Not set |
| Work Description | REMOVE AND CONSTRUCT BRIDGE. |
| Location Description | VENTURA COUNTY ON ROUTE 1 FROM 1.8 MILES NORTH OF ROUTE 1/33 SEPARATION TO 2.0 MILES SOUTH OF A LEASE CANYON ROAD AND ON ROUTE 101 FROM 0.4 MILE NORTH OF DULAH ROAD UNDERCROSSING TO SAN MIGUELITO ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/01/2025) |
Sample Information
| Sample Taken Date | 06/25/2026 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 06/25/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 1.25"x36" Double End Studs |
| The quantity of what the sample constitutes | 204 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jayce | Last name of sampler or witnessed by | Groves |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Halo | 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) | No |
|---|---|---|---|
| Heat Number(s) | 21026690, 8000023383, 240419 | Nut Mfg. Lot Number(s) | W000048291 |
| Washer Mfg. Lot Number(s) | E7373 | Bolt Specification | F1554 |
| Bolt Length(s) | 36" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Galvanized |
| Diameter/Size | 1.25" | Bolt Mfg. Lot Number | 21026690 |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) | one point one four |
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. | |||