Sample Record for 2026-06-16-22
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001281 DEA: 11430234 EFIS: 1118000029
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-0.1/14.6
Work Description: REPLACE CONC PVMT, CONSTRUCT AUX LANE & BIKE TRAIL, ELECT, & LANDSCAPE
Location Description: SAN DIEGO COUNTY IN SAN DIEGO, CHULA VISTA AND NATIONAL CITY FROM 0.3 MILE SOUTH OF ROUTE 805/5 SEPARATION TO ROUTE 805/15 SEPARATION
Contractor Name: GRIFFITH COMPANY
Contractor Address: 13400 Sabre Springs, Suite 200 | San Diego, CA 92128, San Diego, CA 92128
Resident Engineer: Jason Alsheikh Structure Rep.: Carlos Guzman
Sample Information
DIME Sample ID: 2026-06-16-22
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: 9166394315
Type of Sample: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2026
The quantity of what the sample constitutes: 840
A brief description of the sample: Anchor Bolt F1554 Gr. 55
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS
Material Information
Rocap Number(s): N/A
Heat Number(s): 1201075323
Nut Mfg. Lot Number(s): XXX
Washer Mfg. Lot Number(s): XXX
Bolt Specification: F1554
Bolt Length(s): 5.0'
Nut Specification: XXX
Washer Specification: XXX
Finish: HDG
Diameter/Size: 2.0"
Bolt Mfg. Lot Number: 120107532320
Rocap Test Requirement(s): XXX
Lubricant Requirements(s): XXX
Washer Inner Diameter(s): XXX
Test Results
Test
DIME Test ID: 2026-06-16-22-1
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: 2026-06-16-22-2
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: 2026-06-16-22-3
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.
