Sample Record for 2026-02-23-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995236 DEA: 060U2904 EFIS: 0616000001
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-184-1.1/8.3
Work Description: COLD PLANE & OVERLAY WITH HMA/RHMA, CONSTRUCT SIDEWALKS & CURB RAMPS.
Location Description: KERN COUNTY NEAR BAKERSFIELD FROM WHARTON AVENUE TO EDISON HIGHWAY
Contractor Name: GRIFFITH COMPANY
Contractor Address: 1128 Carrier Parkway Avenue, Bakersfield, ca 93308
Resident Engineer: Mandeep Chahal Structure Rep.: Vicente Sanchez
Sample Information
DIME Sample ID: 2026-02-23-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Per Request
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/23/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/02/2026
The quantity of what the sample constitutes: 40
A brief description of the sample: 1-1/2" Anchor Bolt Assembly
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Halo Structural Products
Material Information
Rocap Number(s): NA
Heat Number(s): 58067976, 256364, 149367
Nut Mfg. Lot Number(s): 43251-256364
Washer Mfg. Lot Number(s): E7281
Bolt Specification: ASTM F1554 Gr 55 S-1
Bolt Length(s): 41"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 1-1/2"
Bolt Mfg. Lot Number: 58067976/03
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA
Washer Inner Diameter(s): NA
Test Results
Test 1 of 1
DIME Test ID: 2026-02-23-2-1
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
Data has not been verified.
