Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-11-12-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2025
The quantity of what the sample constitutes: 120
A brief description of the sample: 2"x5'-0" F1554 Gr. 55 Anchor Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales
Rocap Number(s):
Heat Number(s): 1202068127
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554
Bolt Length(s): 5'-0"
Nut Specification: N/A
Washer Specification: N/A
Finish: Galv 1'6" of length
Diameter/Size: 2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
DIME Test ID: 2025-11-12-4-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
Data has not been verified.
DIME Test ID: 2025-11-12-4-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
Data has not been verified.
DIME Test ID: 2025-11-12-4-3
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
Data has not been verified.
DIME Test ID: 2025-11-12-4-4
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
Data has not been verified.
DIME Test ID: 2025-11-12-4-5
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
Data has not been verified.
