Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-06-25-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000320 DEA: 11430324 EFIS: 1118000102 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-14.6/23.7 |
| Award Date | 08/23/2024 |
| Closeout Date | Not set |
| Work Description | MODIFY ELECTRICAL, CONCRETE PAVEMENT, DRAINAGE AND SIGNS. |
| Location Description | SAN DIEGO COUNTY IN SAN DIEGO FROM ROUTE 805/15 SEPARATION TO 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION |
| QA Service Level | 1 (Verified on 09/09/2024) |
Sample Information
| Sample Taken Date | 06/25/2026 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | A563-DH |
| The quantity of what the sample constitutes | 3500 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpender |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | (415) 608-1742 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Industrial Sales, Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-195-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | na |
|---|---|---|---|
| Heat Number(s) | 10893760 | Nut Mfg. Lot Number(s) | 24-23-010 |
| Washer Mfg. Lot Number(s) | na | Bolt Specification | na |
| Bolt Length(s) | na | Nut Specification | A563-DH |
| Washer Specification | na | Finish | MG |
| Diameter/Size | 1/2" | Bolt Mfg. Lot Number | na |
| Rocap Test Requirement(s) | na | Lubricant Requirements(s) | na |
| Washer Inner Diameter(s) | na |
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. | |||