Sample Record for 2026-03-11-86

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Project Information

Project ID: 1000365 DEA: 033H9014 EFIS: 0323000075 QA Service Level: 1

DIST-CO-RTE-PM: 03-SOL,YOL-50,80,113-Var

Work Description: HMA, RHMA, SIGN STRUCTURE, CAMERA SYSTEMS, & FO CABLE SYSTEMS.

Location Description: SOLANO AND YOLO COUNTIES AT VARIOUS LOCATIONS

Contractor Name: DESILVA GATES CONSTRUCTION, LLC

Contractor Address: 3855 North Freeway Boulevard, Suite 100, Sacramento, CA 95834

Resident Engineer: Mirak Mehari Structure Rep.: Michael Charak

DIME Sample ID: 2026-03-11-86

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: Stock

Type of Material: SMTL TM3 - Fastener Assembly

Sample Taken Date: 03/11/2026

Date that the sample was received by the laboratory/organization performing the testing: 03/20/2026

The quantity of what the sample constitutes: 1000

A brief description of the sample: 3/4" x 2-1/4" F3125 (A325) Hex Bolt Rocap Assembly

From where was the sample collected: Fabricator

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Universal Industrial Sales

Rocap Number(s): TT0198936

Heat Number(s): 10928380 Bolt 5806686302 Nut 140565 Washer

Nut Mfg. Lot Number(s): 43319-S-5806686302

Washer Mfg. Lot Number(s): 46551-140565

Bolt Specification: F3125 (A325)

Bolt Length(s): 2-1/4"

Nut Specification: A563

Washer Specification: F436

Finish: Mech. Galv.

Diameter/Size: 3/4"

Bolt Mfg. Lot Number: M6074

Rocap Test Requirement(s): 28 kips

Lubricant Requirements(s): 0

Washer Inner Diameter(s): 0