Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-06-25-6

Project Information

Project IdentifiersProject ID: 995026
DEA: 040Q1004
EFIS: 0418000044
DIST-CO-RTE-PM04-ALA-580-20.7/30.8
Award Date07/11/2024
Closeout DateNot set
Work DescriptionREHAB ALA 580
Location DescriptionALAMEDA COUNTY IN PLEASANTON AND CASTRO VALLEY FROM ROUTE 680/580 SEPARATION TO ROUTE 580/238 SEPARATION
QA Service Level1 (Verified on 07/28/2023)

Sample Information

Sample Taken Date06/25/2026 Sample Unique Key6
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 testing06/25/2026
Sample typeQuality Assurance A brief description of the sampleA563 Hex Nut
The quantity of what the sample constitutes17920 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) FormB390-072-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)10987450 Nut Mfg. Lot Number(s)25-56-010
Washer Mfg. Lot Number(s)na Bolt Specificationna
Bolt Length(s)na Nut SpecificationA563 Gr A
Washer Specificationna FinishHDG
Diameter/Size3/4" Bolt Mfg. Lot Numberna
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)na

Submitted Tests

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