Sample Record for 2026-03-17-53
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 210094 DEA: 040G3604 EFIS: 0400000326 COOP: 042553A1,042981
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880,880-31.0/32.4
Work Description: I-880 BROADWAY/ JACKSON INTERCHANGE: Modify Ramps, Hma Pvmt, Bridges, Drainage, Signals, Sw And Bikeway
Location Description: IN ALA COUNTY
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. Bbld. B, Suit 400, Concord CA, 94520
Resident Engineer: cecilia Zamora Structure Rep.: Kristen Wu
Sample Information
DIME Sample ID: 2026-03-17-53
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: 03/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/26/2026
The quantity of what the sample constitutes: 288
A brief description of the sample: Anchor Bolts with Threaded Ends
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc.
Material Information
Rocap Number(s): na
Heat Number(s): 1201066993
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: ASTM F1554 gr 55
Bolt Length(s): 5'
Nut Specification: na
Washer Specification: na
Finish: Plain/HDG
Diameter/Size: 2-1/2"
Bolt Mfg. Lot Number: heat # 1201066993
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Washer Inner Diameter(s): 888
Test Results
