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Sample Record for 2026-06-10-13

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: 2026-06-10-13
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: 15
A brief description of the sample: 3/4"-13 X 1.75"
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): 1000234472 1000232160 190150105
Nut Mfg. Lot Number(s): W000312352
Washer Mfg. Lot Number(s): 0126-888
Bolt Specification: ASTM A325
Bolt Length(s): 1.75"
Nut Specification: A563
Washer Specification: F436
Finish: Black
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: W000320052
Rocap Test Requirement(s): No
Lubricant Requirements(s): Yes
Washer Inner Diameter(s): thirteen sixteen
Test results on following page(s): 5

Test Results

Test

DIME Test ID: 2026-06-10-13-1
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) 1000234472
Mfg. Lot Number L196-063-26
Finish Coating Plain
Product Markings A325T USA U
Size 0.75 in
Bolt Length 1.75 in
Pitch Diameter 0.678 in
Pitch Diameter 2nd no data in

Test

DIME Test ID: 2026-06-10-13-2
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) 1000234472
Mfg. Lot Number L196-063-26
Finish Coating Plain
Product Markings A325T USA U
Size 0.75 in
Bolt Length 1.75 in
Pitch Diameter 0.6780 in
Pitch Diameter 2nd no data in

Test

DIME Test ID: 2026-06-10-13-3
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 0126-888
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 43
Spacing Ok

Test

DIME Test ID: 2026-06-10-13-4
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
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1AW0003200520.754334000Bolt TensileKleinfelder
UTM NA
Temperature 0 f

Test

DIME Test ID: 2026-06-10-13-5
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
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1AW0003123520.755845000Nut Proof LoadKleinfelder
UTM NA
Temperature 0 f