Sample Record for 2026-03-25-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001767 DEA: 043X7004 EFIS: 0425000313
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-0.55/0.55
Work Description: Structural Damage of the Carquinez Toll Plaza Building and It's Supporting Columns
Location Description: Carquinez Toll Plaza Building
Contractor Name: YERBA BUENA COSNTRUCTION
Contractor Address: 1340 Egbert Ave, San Francisco, CA 94124
Resident Engineer: Mahmoud Aldabbas Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-03-25-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: 9166394315
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 03/25/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 5
A brief description of the sample: F3125 Anchor Bolt
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Bolt
Material Information
Rocap Number(s): N/A
Heat Number(s): 10915060, 8000027025, 2242004
Nut Mfg. Lot Number(s): W000184978
Washer Mfg. Lot Number(s): 411626
Bolt Specification: A325
Bolt Length(s): 7-1/2"
Nut Specification: 1045L
Washer Specification: F436
Finish: HD
Diameter/Size: 1.0"
Bolt Mfg. Lot Number: E415S1
Rocap Test Requirement(s): No
Lubricant Requirements(s): Green Wax
Washer Inner Diameter(s): 1
Test Results
