Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-07-28-7
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000028 DEA: 081J8404 EFIS: 0818000121 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40,58,62,95-Var |
| Award Date | 06/28/2024 |
| Closeout Date | Not set |
| Work Description | INSTALL CMS SYSTEM, FURNISH SIGN STRUCTURE, AND SIGN FOUNDATION. |
| Location Description | SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/18/2024) |
Sample Information
| Sample Taken Date | 07/28/2026 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 07/28/2026 |
| Sample type | Stock | A brief description of the sample | 2-1/4" A563 Gr DH Hex Nut |
| The quantity of what the sample constitutes | 3024 | 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) | 21007720 | Nut Mfg. Lot Number(s) | BZRD |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | N/A |
| Bolt Length(s) | N/A | Nut Specification | A563 |
| Washer Specification | N/A | Finish | HDG w/ Wax & Dye |
| Diameter/Size | 2-1/4" | Bolt Mfg. Lot Number | N/A |
| 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. | |||