Sample Record for 2026-06-10-12
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: 2026-06-10-12
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: 25
A brief description of the sample: 5/8"-13 X 1.5"
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): 1000225917 256490 12511080
Nut Mfg. Lot Number(s): 42595-256490
Washer Mfg. Lot Number(s): 0725-732
Bolt Specification: ASTM A325
Bolt Length(s): 1.5
Nut Specification: A563
Washer Specification: F436
Finish: Black
Diameter/Size: 5/8""
Bolt Mfg. Lot Number: W000219204
Rocap Test Requirement(s): No
Lubricant Requirements(s): Yes
Washer Inner Diameter(s): five eight
Test Results
Test
DIME Test ID: 2026-06-10-12-1
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: 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.
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1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
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no data
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Mfg. Lot Number
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W000219204
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
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0.625 in
|
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Bolt Length
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1.5 in
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Pitch Diameter
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0.5620 in
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Pitch Diameter 2nd
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no data in
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Test
DIME Test ID: 2026-06-10-12-2
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
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0725-732
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|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
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0.625 in
|
|
Bolt Length
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no data in
|
|
Hardness Reading Scale
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C Scale
|
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Hardness Reading Average
|
41
|
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Spacing
|
Ok
|
Test
DIME Test ID: 2026-06-10-12-3
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 | W000219204 | 0.625 | 31860 | 0 | 0 | Bolt Tensile | Kleinfelder |
| |
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UTM
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NA
|
|
Temperature
|
0 f
|
Test
DIME Test ID: 2026-06-10-12-4
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 | 42595-256490 | 0.625 | 39550 | 0 | 0 | Nut Proof Load | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
