Sample Record for 2025-09-24-15
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000176 DEA: 034H76U4 EFIS: 0323000040
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-32-5.0/10.2
Work Description: REHABILITATE PAVEMENT, INSTALL SIGNAL, LIGHTING, DRAINAGE, & ADA RAMPS
Location Description: BUTTE COUNTY IN CHICO FROM MUIR AVENUE TO INTERCHANGE OF STATE ROUTES 99 AND 32
Contractor Name: BALDWIN CONTRACTING COMPANY, INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 SKYWAY, CHICO CA 95928
Resident Engineer: Husam Makhoul Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-09-24-15
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 09/24/2025
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 26
A brief description of the sample: 3/4″ x30" F1554 Grade 55 double end stud assemblies w/ nuts & washers
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Retaining wall
The fabricator/manufacturer/facility name: Charter Steel/Capital Steel &Wire
Material Information
Rocap Number(s):
Heat Number(s): 20994440
Nut Mfg. Lot Number(s): 100022218321
Washer Mfg. Lot Number(s): 58888919
Bolt Specification: ASTM F1554 Grade 105.
Bolt Length(s): 30"
Nut Specification: ASTM A194 2H Heavy Hex Nuts.
Washer Specification: ASTM F436.
Finish: Hot dip Galvanized
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 20994440
Rocap Test Requirement(s):
Lubricant Requirements(s): Not required
Washer Inner Diameter(s):
Test Results
