Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-07-08-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001640 DEA: 010N2904 EFIS: 0123000202 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-197,199-Var |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE, EXCAVATION, AND RETAINING WALLS. |
| Location Description | DEL NORTE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 09/22/2025) |
Sample Information
| Sample Taken Date | 07/08/2026 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 07/20/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" A563 Hex Nut HDG (Wax and Dye) |
| The quantity of what the sample constitutes | 4 OF 73,516 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | UIS Lindon UT | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-103-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | NONE |
|---|---|---|---|
| Heat Number(s) | 5806869906 | Nut Mfg. Lot Number(s) | N0164-S-5806869906 |
| Washer Mfg. Lot Number(s) | none | Bolt Specification | none |
| Bolt Length(s) | none | Nut Specification | A563 Gr. HD Hvy Hex Nut |
| Washer Specification | none | Finish | Galvanize |
| Diameter/Size | 3/4 | Bolt Mfg. Lot Number | none |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) | Wax |
| Washer Inner Diameter(s) | none |
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. | |||