Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2026-07-14-37

Project Information

Project IdentifiersProject ID: 1000320
DEA: 11430324
EFIS: 1118000102
DIST-CO-RTE-PM11-SD-805-14.6/23.7
Award Date08/23/2024
Closeout DateNot set
Work DescriptionMODIFY ELECTRICAL, CONCRETE PAVEMENT, DRAINAGE AND SIGNS.
Location DescriptionSAN DIEGO COUNTY IN SAN DIEGO FROM ROUTE 805/15 SEPARATION TO 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION
QA Service Level1 (Verified on 09/09/2024)

Sample Information

Sample Taken Date07/14/2026 Sample Unique Key37
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 testing07/14/2026
Sample typeStock A brief description of the sample1-1/8" F436 Flat Washer
The quantity of what the sample constitutes2000 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byAlvarez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Industrial Sales Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)226005 Nut Mfg. Lot Number(s)N/A
Washer Mfg. Lot Number(s)46556-226005 Bolt SpecificationN/A
Bolt Length(s)N/A Nut SpecificationN/A
Washer SpecificationF436 FinishMech. Galv.
Diameter/Size1-1/8" Bolt Mfg. Lot NumberN/A
Rocap Test Requirement(s)0 Lubricant Requirements(s)0
Washer Inner Diameter(s)0

Submitted Tests

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