Sample Record for 2026-04-07-60
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000877 DEA: 07350334 EFIS: 0723000025
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-2,10,57,60,71,etc.-Var
Work Description: INSTALL CHANGEABLE MESSAGE SIGNS, AND TRAFFIC CENSUS STATIONS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: CROSSTOWN ELECTRICAL & DATA, INC.
Contractor Address: Unknown
Resident Engineer: Jose Ferrer Structure Rep.: Brandon Ubina
Sample Information
DIME Sample ID: 2026-04-07-60
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: 04/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/21/2026
The quantity of what the sample constitutes: 3
A brief description of the sample: 3/4"x 15"x 2"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A&M NUT & BOLT
Material Information
Rocap Number(s): N/A
Heat Number(s): Bolt-3143489
Nut-20962380
Washer-190156901
Nut Mfg. Lot Number(s): 41989-20962380
Washer Mfg. Lot Number(s): E8409
Bolt Specification: ASTM F1554
Bolt Length(s): 15"X 2"
Nut Specification: ASTM A194 2H
Washer Specification: ASTM F436
Finish: ASTM A153
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 67195-PPO
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Washer Inner Diameter(s): na
Test Results
Test
DIME Test ID: 2026-04-07-60-1
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: 2026-04-07-60-2
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: 2026-04-07-60-3
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.
