Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-08-27-2

Project Information

Project IdentifiersProject ID: 1001176
DEA: 042Q5204
EFIS: 0419000021
DIST-CO-RTE-PM04-SOL-29-0.0/6.0
Award Date07/14/2025
Closeout DateNot set
Work DescriptionHMA PVMT, MOD DRAINAGE, SIGNALS, SIDEWALKS, CURB RAMPS AND LANDSCAPE.
Location DescriptionSOLANO COUNTY IN VALLEJO FROM 0.2 MILE NORTH OF ROUTE 80/ 29 SEPARATION TO NAPA COUNTY LINE
QA Service Level1 (Verified on 08/14/2025)

Sample Information

Sample Taken Date08/27/2026 Sample Unique Key2
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 sampleF1554 Grade 55 HDG Anchor Bolts
The quantity of what the sample constitutes3 of 410 From where was the sample collectedDistributor
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Cirlce Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-150-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)none
Heat Number(s)3146016 Nut Mfg. Lot Number(s)none
Washer Mfg. Lot Number(s)none Bolt SpecificationF1554
Bolt Length(s)6" Nut Specificationnone
Washer Specificationnone FinishGalvanize
Diameter/Size3/4 Bolt Mfg. Lot Number86779332/146016A434
Rocap Test Requirement(s)none Lubricant Requirements(s)none
Washer Inner Diameter(s)none

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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