Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-25-23
Project Information
| Project Identifiers | Project ID: 994415 DEA: 120R3114 EFIS: 1220000021 |
|---|---|
| DIST-CO-RTE-PM | 12-LA,ORA-91-R20.6/R20.7,R0.0/4.8 |
| Award Date | 03/03/2025 |
| Closeout Date | Not set |
| Work Description | PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES FROM 0.1 MILE WEST OF THE LOS ANGLES COUNTY LINE IN CERRITOS TO 0.1 MILE EAST OF ACACIA STREET UNDERCROSSING IN ANAHEIM |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 06/25/2026 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 1.25" Washers (Replacement) |
| The quantity of what the sample constitutes | 12 | 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) | 148668 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | 148668 | Bolt Specification | N/A |
| Bolt Length(s) | N/A | Nut Specification | N/A |
| Washer Specification | N/A | Finish | Galvanized |
| Diameter/Size | 1.25" Washers | Bolt Mfg. Lot Number | N/A |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | No |
| Washer Inner Diameter(s) | one and seven sixteenths |
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. | |||
