Sample Record for 2026-03-27-46
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001562 DEA: 010H5704 EFIS: 0117000237
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-20.9/28.6
Work Description: PLACE ASPHALT, VEGETATION CONTROL & INSTALL HIGH TENSION CABLE BARRIER
Location Description: MENDOCINO COUNTY IN AND NEAR UKIAH FROM NORTH OF ROBINSON CREEK BRIDGE TO POMO LANE UNDERCROSSING
Contractor Name: Ghilott Bros., Inc.
Contractor Address: 525 Jacoby Street, San Rafael, CA 94901
Resident Engineer: Daniel Kraft Structure Rep.: Mostafa Bayoumi
Sample Information
DIME Sample ID: 2026-03-27-46
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: 03/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2026
The quantity of what the sample constitutes: 855
A brief description of the sample: A325 heavy Hex Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fontana Fasteners Ameron International
Material Information
Rocap Number(s): NA
Heat Number(s): 10976040 190158328 21020160
Nut Mfg. Lot Number(s): 26-57-001
Washer Mfg. Lot Number(s): 1125-84
Bolt Specification: A325
Bolt Length(s): 5-1/2"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number: E797X1
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA
Washer Inner Diameter(s): NA
Test Results
Test
DIME Test ID: 2026-03-27-46-1
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.
Test
DIME Test ID: 2026-03-27-46-2
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
Data has not been verified.
Test
DIME Test ID: 2026-03-27-46-3
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.
