Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-08-25-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.2/R11.4 |
| Award Date | 01/03/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 08/19/2024) |
Sample Information
| Sample Taken Date | 08/25/2026 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | Stock | A brief description of the sample | 1" DTI Washer |
| The quantity of what the sample constitutes | 4000 | 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) | 242500 | Nut Mfg. Lot Number(s) | n/a |
| Washer Mfg. Lot Number(s) | ABTKX2 | Bolt Specification | n/a |
| Bolt Length(s) | n/a | Nut Specification | n/a |
| Washer Specification | F959-DTI | Finish | Mech. Galvanization |
| Diameter/Size | 1" | 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. | |||