Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-06-25-5

Project Information

Project IdentifiersProject ID: 994418
DEA: 040J5504
EFIS: 0414000012
DIST-CO-RTE-PM04-ALA-84-17.2/17.2
Award Date02/03/2026
Closeout DateNot set
Work DescriptionREPLACE BRIDGE, WIDEN ROADWAY, & CONSTRUCT SIDEWALKS.
Location DescriptionALAMEDA COUNTY AT SUNOL FROM SILVER SPRING ROAD UNDERPASS TO PLEASANTON SUNOL ROAD
QA Service Level1 (Verified on 12/01/2022)

Sample Information

Sample Taken Date06/25/2026 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 testing07/07/2026
Sample typeQuality Assurance A brief description of the sampleA563 Hex Nut
The quantity of what the sample constitutes2600 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) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)10955670 Nut Mfg. Lot Number(s)25-29-009
Washer Mfg. Lot Number(s)na Bolt Specificationna
Bolt Length(s)na Nut SpecificationA563
Washer SpecificationF436 FinishHDG
Diameter/Size3/8" Bolt Mfg. Lot Numberna
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)na

Submitted Tests

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