Sample Record for 2026-10-29-4
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: 2026-10-29-4
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: 10/29/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 142 pcs.
A brief description of the sample: 1"x3-3/4" A325 TC Bolts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fought & Company
Material Information
Rocap Number(s): Tension Control Bolts
Bolt Heat Number: 10000218913
Nut Heat Number: 8000021190
Washer Heat Number: 219374
Nut Mfg. Lot Number(s): W000034965
Washer Mfg. Lot Number(s): 219374
Bolt Specification: ASTM 325/F3125 TC
Bolt Length(s): 3-3/4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Bolt Galvanization: ASTM B695
Nut Galvanization: ASTM B695
Washer Galvanization: ASTM B695
Bolt Diameter: 1"
Nut Diameter: 1"
Washer Diameter: 1"
Bolt Mfg. Lot Number: W000062629
Rocap Test Requirement(s): Tension Control Bolts
Lubricant Requirements(s):
Washer Inner Diameter(s):
Bolt Mill Supplier: Nucor
Nut Mill Supplier: Nucor
Washer Mill Supplier: Wrought Washer
Test Results
