Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-07-16-5

Project Information

Project IdentifiersProject ID: 1001280
DEA: 033J9004
EFIS: 0323000033
DIST-CO-RTE-PM03-SAC-160-R44.9
Award Date08/05/2025
Closeout DateNot set
Work DescriptionMODIFY SIGNAL AND LIGHTING SYSTEMS.
Location DescriptionSACRAMENTO COUNTY IN SACRAMENTO AT 0.1 MILE SOUTH OF NORTH SACRAMENTO UNDERCROSSING
QA Service Level1 (Verified on 05/28/2025)

Sample Information

Sample Taken Date07/16/2026 Sample Unique Key5
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 testingNot set
Sample typeQuality Assurance A brief description of the sample1-1/2" x 3-1/2" ASTM A325 Bolt Assembly
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of sampler Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmeron Pole Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-102-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)NA
Heat Number(s)Bolt 58063674 Nut 1000115365 Washer 241930 Nut Mfg. Lot Number(s)W000302823
Washer Mfg. Lot Number(s)0125-526 Bolt SpecificationASTM A325
Bolt Length(s)3-1/2" Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishHDG
Diameter/Size1-1/2" Bolt Mfg. Lot Number112625-1CE
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA
Washer Inner Diameter(s)NA

Submitted Tests

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