Sample Record for 2025-11-23-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-L1.8/L3.2
Work Description: Construct I-80 WB Truck Scales
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
Contractor Name: Kiewit Infrastructure West Co.
Contractor Address: 4650 Business Center Drive, Fairfield, CA 94534
Resident Engineer: Darren Isada Structure Rep.: Nana Budu
Sample Information
DIME Sample ID: 2025-11-23-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/23/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/03/2025
The quantity of what the sample constitutes: 2
A brief description of the sample: 1-1/2" x 31"
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt - Oregon
Material Information
Rocap Number(s):
Heat Number(s): Bolt 3139475
Nut B75562
Washer 20954760
Nut Mfg. Lot Number(s): BVZJ
Washer Mfg. Lot Number(s): E7951
Bolt Specification: 1-1/2" x 31" dom. galv. F1554-55 heavy hex bolt with 7-1/2" thd.
Bolt Length(s):
Nut Specification: 1-1/2" dom. galv. A563-DH heavy hex nut
Washer Specification: 1-1/2" dom. galv. F436-1 hard washer
Finish: HDG
Diameter/Size: 1'-1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
Test 1 of 7
DIME Test ID: 2025-11-23-6-1
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.
Test 2 of 7
DIME Test ID: 2025-11-23-6-2
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: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
Data has not been verified.
Test 3 of 7
DIME Test ID: 2025-11-23-6-3
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: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
Data has not been verified.
Test 4 of 7
DIME Test ID: 2025-11-23-6-4
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: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
Data has not been verified.
Test 5 of 7
DIME Test ID: 2025-11-23-6-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
Data has not been verified.
Test 6 of 7
DIME Test ID: 2025-11-23-6-6
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
Data has not been verified.
Test 7 of 7
DIME Test ID: 2025-11-23-6-7
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
Data has not been verified.