Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-06-25-9

Project Information

Project IdentifiersProject ID: 1001625
DEA: 11173704
EFIS: 1100020255
DIST-CO-RTE-PM11-SD-805-2.6/3.2
Award DateNot set
Closeout DateNot set
Work DescriptionWIDEN INTERCHANGE, STRUCTURES, HMA-A, RHMA-G, LANDSCAPE, & ELECTRICAL.
Location DescriptionSAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF PALM AVENUE OVERCROSSING
QA Service Level1 (Verified on 03/04/2026)

Sample Information

Sample Taken Date06/25/2026 Sample Unique Key9
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 sample1"x36" Double End Studs
The quantity of what the sample constitutes401 From where was the sample collectedSource
First name of sampler or witnessed byJayce Last name of sampler or witnessed byGroves
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHalo 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)No
Heat Number(s)79020498, 80000028822, 190250877 Nut Mfg. Lot Number(s)W000222814
Washer Mfg. Lot Number(s)E8885 Bolt SpecificationF1554
Bolt Length(s)36" Nut SpecificationA563
Washer SpecificationF436 FinishGalvanized
Diameter/Size1" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)No Lubricant Requirements(s)No
Washer Inner Diameter(s)one one eight

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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