Sample Record for 2026-02-25-19
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001213 DEA: 11431644 EFIS: 1122000232
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-78-N17.7
Work Description: Cold plane, RHMA overlay, Concrete Barriers, Landscape and Electrical.
Location Description: IN SAN DIEGO COUNTY FROM ROUTE 78/5 SEPARATION TO 0.3 MILE EAST OF ESCONDIDO BOULEVARD UNDERCROSSING.
Contractor Name: Skanska USA Civil West
Contractor Address: 1995 Agua Mansa Rd., Riverside, CA 92509
Resident Engineer: Yong Pak Structure Rep.: Carlos Lopez
Sample Information
DIME Sample ID: 2026-02-25-19
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2026
The quantity of what the sample constitutes: 8
A brief description of the sample: F1554 Gr 55
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Baker Electric
Material Information
Rocap Number(s): NA
Heat Number(s): 79015258, 8000027959, 249633
Nut Mfg. Lot Number(s): W000139493
Washer Mfg. Lot Number(s): E6678
Bolt Specification: F1554 Gr 55
Bolt Length(s): 24
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA
Washer Inner Diameter(s): NA
Test Results
Test
DIME Test ID: 2026-02-25-19-1
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.
