Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-25-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1002102 DEA: 081P9904 EFIS: 0824000205 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138-15.264 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | SIGNAL AND LIGHTING SYSTEM. CONSTRUCTION ON STATE HIGHWAY IN SAN BERNARDINO COUNTY NEAR HESPERIA AT ROUTE 15 SOUTHBOUND RAMPS AND AT ROUTE 15 NORTHBOUND RAMPS |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/28/2026) |
Sample Information
| Sample Taken Date | 06/25/2026 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 2.25" x 42" Double End Studs |
| The quantity of what the sample constitutes | 400 | 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) | 79018794, 401220795, 21005610, 22520370 | Nut Mfg. Lot Number(s) | BZKS |
| Washer Mfg. Lot Number(s) | 419358 | Bolt Specification | F1554 |
| Bolt Length(s) | 42" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Galvanized |
| Diameter/Size | 1" | Bolt Mfg. Lot Number | 79018794 |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) | TWO ONE QUARTER |
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. | |||