Sample Record for 2026-09-08-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994675 DEA: 07390204 EFIS: 0722000334
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47-0.4 / 2.1
Work Description: Bridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints.
Location Description: RTE 47 between Terminal Island and San Pedro PM 0.4/2.1
Contractor Name: Skanska
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Sam Gallardo Structure Rep.: Sami Deeb
Sample Information
DIME Sample ID: 2026-09-08-4
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: 09/08/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2026
The quantity of what the sample constitutes: 385
A brief description of the sample: 7/8" x 2-1/4" F3125/F1852 A325TC Bolt Assembly
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unytite Inc
Material Information
Rocap Number(s): 43940-10989970
Heat Number(s): Bolt 10989970
Nut 5912492302
Washer B74859
Nut Mfg. Lot Number(s): N0063-5912492302
Washer Mfg. Lot Number(s): 43114-B74859
Bolt Specification: ASTM A325
Bolt Length(s): 2-1/4"
Nut Specification: ASTM F436
Washer Specification: ASTM A563
Finish: MECH Galv
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: 43940-10989970
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Lub Nut
Washer Inner Diameter(s): Point 944 in
Test Results
