Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-07-14-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994675 DEA: 07390204 EFIS: 0722000334 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47-0.4 / 2.1 |
| Award Date | 01/24/2025 |
| Closeout Date | Not set |
| Work Description | Bridge 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 Description | RTE 47 between Terminal Island and San Pedro PM 0.4/2.1 |
| QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
| Sample Taken Date | 07/14/2026 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 07/14/2026 |
| Sample type | Stock | A brief description of the sample | 3/4" x 5-1/2" A325 Hex Bolt |
| The quantity of what the sample constitutes | 630 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Alvarez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Industrial Sales | 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) | N/A |
|---|---|---|---|
| Heat Number(s) | 10972660 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | A325 |
| Bolt Length(s) | 5-1/2" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | HDG |
| Diameter/Size | 3/4" | Bolt Mfg. Lot Number | G11704 |
| Rocap Test Requirement(s) | 0 | Lubricant Requirements(s) | 0 |
| Washer Inner Diameter(s) | 0 |
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. | |||