Sample Record for 2026-06-10-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001360 DEA: 09374804 EFIS: 0918000020
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-115.0
Work Description: BUILDING WORK AND PLACE HMA (TYPE A).
Location Description: INYO COUNTY IN BISHOP AT THE DISTRICT OFFICE AT 500 SOUTH MAIN STREET
Contractor Name: BOWE CONTRACTORS INC.
Contractor Address: 609 Bailey Ct, Tehachapi, CA 93561
Resident Engineer: David Carruba Structure Rep.: Mulugheta Belay
Sample Information
DIME Sample ID: 2026-06-10-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/23/2026
The quantity of what the sample constitutes: 20
A brief description of the sample: 1/2"-13 X 2.75"
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cordova Bolt Inc. Buena Park, CA.
Material Information
Rocap Number(s): N/A
Heat Number(s): 100208920 1000232158 190158320
Nut Mfg. Lot Number(s): W000302829
Washer Mfg. Lot Number(s): 1025-824
Bolt Specification: ASTM A325
Bolt Length(s): 2.75
Nut Specification: A563
Washer Specification: F436
Finish: Black
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: 455622A
Rocap Test Requirement(s): No
Lubricant Requirements(s): Yes
Washer Inner Diameter(s): half inch
Test Results
Test
DIME Test ID: 2026-06-10-6-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/09/2026
Date Tested: 06/24/2026
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
|
1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
100208920
|
|
Mfg. Lot Number
|
L196-058-26
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
A325 USA U
|
|
Size
|
0.5 in
|
|
Bolt Length
|
2.75 in
|
|
Pitch Diameter
|
0.4445 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-10-6-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/09/2026
Date Tested: 06/24/2026
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
100208920
|
|
Mfg. Lot Number
|
L196-058-26
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
A325 USA U
|
|
Size
|
0.5 in
|
|
Bolt Length
|
2.75 in
|
|
Pitch Diameter
|
0.4455 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-10-6-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/09/2026
Date Tested: 07/08/2026
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
|
1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
1025-824
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
41
|
|
Spacing
|
Ok
|
Test
DIME Test ID: 2026-06-10-6-4
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)
Verified Date: 07/09/2026
Date Tested: 07/08/2026
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of Bolt Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 455622A | 0.5 | 18750 | 0 | 0 | Bolt Tensile | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
Test
DIME Test ID: 2026-06-10-6-5
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)
Verified Date: 07/09/2026
Date Tested: 07/08/2026
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of Bolt Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | W000302829 | 0.5 | 24833 | 0 | 0 | Nut Proof Load | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
