Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-02-25-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001824 DEA: 061J3104 EFIS: 0626000064 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-204-5.9/5.9 |
| Award Date | 10/06/2025 |
| Closeout Date | Not set |
| Work Description | Calloway Canal bridge repair at Bridge No. 50 0209 |
| Location Description | Replacement of existing barrier rail and sidewalk on WB direction, demo and reconstruct overhang, remove existing AC overlay (2-ft wide from curb), strengthen deck with carbon fiber reinforced polymer bar, place AC overlay, and install new barrier rail. |
| QA Service Level | 1 (Verified on 11/18/2025) |
Sample Information
| Sample Taken Date | 02/25/2026 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 03/02/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Hex Headed threaded anchor rod |
| The quantity of what the sample constitutes | 1 lot of 62 | From where was the sample collected | Other |
| First name of sampler or witnessed by | Stacey | Last name of sampler or witnessed by | Davis |
| Title of sampler | QAI | Telephone number of sampler | 5624806984 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C & K Johnson Ind. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S86-008-26 | Structure unique identifier | 50-0209 |
| Structure name | Calloway Canal Bridge | Bid Item | 4 - BRIDGE RAIL (ST-75) |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 256785 8000037449 148668 | Nut Mfg. Lot Number(s) | W000296713 |
| Washer Mfg. Lot Number(s) | 148668 / 43382 | Bolt Specification | ASTM F1554, Grade 105 |
| Bolt Length(s) | 17-1/2" | Nut Specification | ASTM A563, Grade DH |
| Washer Specification | ASTM F436 | Finish | ASTM A153/F2329 - Hot Dip |
| Diameter/Size | 1-1/4" | Bolt Mfg. Lot Number | 191442-001 |
| Rocap Test Requirement(s) | None | Lubricant Requirements(s) | none |
| Washer Inner Diameter(s) | NA |
Submitted Tests
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Test File Attachments
DIME Test ID: 2026-02-25-3-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2026-02-25-3-2 ASME B1.2-83r17 (Verified)
DIME Test ID: 2026-02-25-3-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-5 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-6 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-7 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-8 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-9 ASTM B499-09r21 (Verified)
DIME Test ID: 2026-02-25-3-10 ASTM E18-20 (Verified)
DIME Test ID: 2026-02-25-3-11 ASTM E18-20 (Verified)
DIME Test ID: 2026-02-25-3-12 ASTM E18-20 (Verified)
DIME Test ID: 2026-02-25-3-13 ASTM E18-20 (Verified)
DIME Test ID: 2026-02-25-3-14 ASTM E18-20 (Verified)
DIME Test ID: 2026-02-25-3-15 ASTM F606-21 (Verified)