Sample Record for 2026-06-18-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1002103 DEA: 081T8404 EFIS: 0826000112
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-162.73
Work Description: SBD-15 Cima Rd Overcrossing (OC) Bridge Hit. Repair damaged bridge
Location Description:
Contractor Name: Beador Const. Co. Inc.
Contractor Address: 26320 LESTER CIRCLE, CORONA CA 92883
Resident Engineer: Khoa Nguyen Structure Rep.: Jegbefume Adodo
Sample Information
DIME Sample ID: 2026-06-18-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/18/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/23/2026
The quantity of what the sample constitutes: 63 assemblies
A brief description of the sample: 7/8" x 2-3/4" assembly
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name: N/A
The fabricator/manufacturer/facility name: Cordova Bolt Inc.
Material Information
Rocap Number(s): CB-055-01 Rotational Capacity - W000160444-A
Heat Number(s): 1000125298 8000035507 244311
Nut Mfg. Lot Number(s): W000272441
Washer Mfg. Lot Number(s): 0425-613
Bolt Specification: ASTM A352
Bolt Length(s): 2 3/4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: Black
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: W000160444
Rocap Test Requirement(s): ASTM F3125 Caltrans Section 55
Lubricant Requirements(s): none
Washer Inner Diameter(s): none
Test Results
Test
DIME Test ID: 2026-06-18-6-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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)
|
1000125298
|
|
Mfg. Lot Number
|
L196-042-26
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
A325 USA U
|
|
Size
|
0.875 in
|
|
Bolt Length
|
2.75 in
|
|
Pitch Diameter
|
0.7965 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-18-6-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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)
|
1000125298
|
|
Mfg. Lot Number
|
L196-042-26
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
A325 USA U
|
|
Size
|
0.875 in
|
|
Bolt Length
|
2.75 in
|
|
Pitch Diameter
|
0.7965 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-18-6-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 07/07/2026
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
|
0425-613
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
.875 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
40
|
|
Spacing
|
Ok
|
Test
DIME Test ID: 2026-06-18-6-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 07/07/2026
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)
|
no data
|
|
Mfg. Lot Number
|
0425-613
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
.875 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
41
|
|
Spacing
|
Ok
|
Test
DIME Test ID: 2026-06-18-6-5
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: 07/07/2026
Date Tested: 07/07/2026
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 | W000160444 | .875 | 63460 | 0000 | 0000 | A325 | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
Test
DIME Test ID: 2026-06-18-6-6
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)
Verified Date: 07/07/2026
Date Tested: 07/07/2026
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 Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | | 1A | W000272441 | .875 | 80850 | 0000 | A563 Proof Load | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
