Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-06-25-20

Project Information

Project IdentifiersProject ID: 993812
DEA: 11431274
EFIS: 1121000129
DIST-CO-RTE-PM11-SD-5-R0.3/R36.0
Award Date01/28/2025
Closeout DateNot set
Work DescriptionCMGC Project- Restore the pavement to a state of good repair through roadway rehabilitation, pavement preservation, drainage restoration, transportation management system upgrades, and American with Disabilities Act (ADA) infrastructure improvements.
Location DescriptionSD County
QA Service Level1 (Verified on 09/19/2022)

Sample Information

Sample Taken Date06/25/2026 Sample Unique Key20
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 sampleA325
The quantity of what the sample constitutes130 From where was the sample collectedFabricator
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpender
Title of samplerCT METS QA INSPECTOR Telephone number of sampler(415) 608-1742
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) FormB24-205-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)na
Heat Number(s)E438S1 Nut Mfg. Lot Number(s)na
Washer Mfg. Lot Number(s)na Bolt SpecificationA325
Bolt Length(s)4-1/2" Nut Specificationna
Washer Specificationna FinishMG
Diameter/Size1-1/4" Bolt Mfg. Lot NumberM6227
Rocap Test Requirement(s)na Lubricant Requirements(s)na
Washer Inner Diameter(s)na

Submitted Tests

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