Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-08-11-54
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001075 DEA: 040W0304 EFIS: 0420000164 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-580-0.02/6.3 |
| Award Date | 10/16/2025 |
| Closeout Date | Not set |
| Work Description | Replace existing tolling structure with open road tolling (ORT) system at the Richmond-San Rafael. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/13/2025) |
Sample Information
| Sample Taken Date | 08/11/2026 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 08/19/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 nuts |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Gramlick |
| Title of sampler | ASI | Telephone number of sampler | 916-639-5867 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | XKT Engineering | 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) | W000339200 |
|---|---|---|---|
| Heat Number(s) | 1000134536 | Nut Mfg. Lot Number(s) | W000319916 |
| Washer Mfg. Lot Number(s) | E9348 | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 2-1/4 | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | HDG |
| Diameter/Size | 3/4 | Bolt Mfg. Lot Number | W000339200 |
| Rocap Test Requirement(s) | W000339200 | Lubricant Requirements(s) | wax |
| Washer Inner Diameter(s) | 000 |
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. | |||