Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-06-10-1
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Project Information
| Project Identifiers | Project ID: 995254 DEA: 040P9204 EFIS: 0418000026 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-6.4/6.6 |
| Award Date | 12/20/2024 |
| Closeout Date | Not set |
| Work Description | HMA AND RHMA SURFACING, DECK REPAIR, POLYESTER OVERLAY AND JOIN SEALS |
| Location Description | ALAMEDA COUNTY IN FREMONT FROM 0.1 MILE SOUTH OF MISSION SAN JOSE 680/238 SEPARATION TO 0.3 MILE NORTH OF MISSION SAN JOSE 680/238 SEPARATION |
| QA Service Level | 1 (Verified on 10/17/2023) |
Sample Information
| Sample Taken Date | 06/10/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 07/07/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 2.25 ASTM F1554 Grade 55 |
| The quantity of what the sample constitutes | 1 Sample from 12 ea | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | (916) 767-3535 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Madden Bolts | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-048-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | 58065156-04, 20963870, 32507650 | Nut Mfg. Lot Number(s) | BXFE |
| Washer Mfg. Lot Number(s) | 0325-596 | Bolt Specification | ASTM F1554 |
| Bolt Length(s) | 52" | Nut Specification | ASTM A194 |
| Washer Specification | ASTM F436 | Finish | hot dip galvanized |
| Diameter/Size | 2.25 | Bolt Mfg. Lot Number | |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-06-10-1-1 ASME B1.2-83r17 (Verified)
DIME Test ID: 2025-06-10-1-2 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-06-10-1-3 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-06-10-1-4 ASTM B499-09r21 (Verified)
DIME Test ID: 2025-06-10-1-5 ASTM E18-20 (Verified)
DIME Test ID: 2025-06-10-1-6 ASTM E18-20 (Verified)
DIME Test ID: 2025-06-10-1-7 ASTM F606-21 (Verified)