Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-07-07-17

Project Information

Project IdentifiersProject ID: 994675
DEA: 07390204
EFIS: 0722000334
DIST-CO-RTE-PM07-LA-47-0.4 / 2.1
Award Date01/24/2025
Closeout DateNot set
Work DescriptionBridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints.
Location DescriptionRTE 47 between Terminal Island and San Pedro PM 0.4/2.1
QA Service Level1 (Verified on 08/07/2023)

Sample Information

Sample Taken Date07/07/2026 Sample Unique Key17
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/20/2026
Sample typeQuality Assurance A brief description of the sample7/8" F1554 Gr.105 HDG All Thread
The quantity of what the sample constitutes3 of 500 From where was the sample collectedSource
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUIS Lindon UT Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-098-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)none
Heat Number(s)10868180 Nut Mfg. Lot Number(s)none
Washer Mfg. Lot Number(s)none Bolt SpecificationF1554 Gr.105
Bolt Length(s)10" Nut Specificationnone
Washer Specificationnone FinishHDG
Diameter/Size7/8 X 10" Bolt Mfg. Lot Number10868180
Rocap Test Requirement(s)none Lubricant Requirements(s)none
Washer Inner Diameter(s)none

Submitted Tests

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