Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-08-27-6

Project Information

Project IdentifiersProject ID: 1001281
DEA: 11430234
EFIS: 1118000029
DIST-CO-RTE-PM11-SD-805-0.1/14.6
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE CONC PVMT, CONSTRUCT AUX LANE & BIKE TRAIL, ELECT, & LANDSCAPE
Location DescriptionSAN DIEGO COUNTY IN SAN DIEGO, CHULA VISTA AND NATIONAL CITY FROM 0.3 MILE SOUTH OF ROUTE 805/5 SEPARATION TO ROUTE 805/15 SEPARATION
QA Service Level1 (Verified on 06/09/2025)

Sample Information

Sample Taken Date08/27/2026 Sample Unique Key6
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 sampleAnchor Bolt Asembly
The quantity of what the sample constitutes3 of 1,200 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 circle Corp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-152-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)none
Heat Number(s)245774 Nut Mfg. Lot Number(s)42998-256449
Washer Mfg. Lot Number(s)E9588 Bolt SpecificationF1554 Gr.105
Bolt Length(s)40" Nut SpecificationA563-DH
Washer SpecificationF436 FinishGalvanize
Diameter/Size1" Bolt Mfg. Lot Number245774/K49722
Rocap Test Requirement(s)none Lubricant Requirements(s)none
Washer Inner Diameter(s)1

Submitted Tests

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