Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-08-25-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000412 DEA: 051K5204 EFIS: 0518000216 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-154-0/32.84 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Drainage System Restoration |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/10/2024) |
Sample Information
| Sample Taken Date | 08/25/2026 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/25/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/4"-7x 3" Fastener |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Alexis | Last name of sampler or witnessed by | Millan |
| Title of sampler | CT QA METS Inspector | Telephone number of sampler | 9097569960 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ameron Poles Oklahoma | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L191-134-26 | 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) | 58067396 | Nut Mfg. Lot Number(s) | N/A |
| Washer Mfg. Lot Number(s) | N/A | Bolt Specification | ASTM A325 |
| Bolt Length(s) | 3" | Nut Specification | N/A |
| Washer Specification | N/A | Finish | ASTM A153 |
| Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | 042126-1BE |
| Rocap Test Requirement(s) | none | Lubricant Requirements(s) | none |
| Washer Inner Diameter(s) | none |
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. | |||