Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2025-09-17-17

Project Information

Project IdentifiersProject ID: 994828
DEA: 043Y4104
EFIS: 0423000232
DIST-CO-RTE-PM04-CC,SM-680-25.04/25.46, VAR/VAR
Award DateNot set
Closeout DateNot set
Work DescriptionPaint removal and non-destructive testing (NDT) on butt weld connections on T1 type steel in fracture critical members of three distinct existing toll bridge.
Location DescriptionCarquinez Bridge Overhead (Br. No. 23-0015R), Benicia-Martinez Bridge Overhead (Br. No. 28-0153L), and San Mateo-Hayward Bridge (Br. No. 35-0054). County = SM,CC,SOL. Route = 680,80,92.
QA Service Level1 (Verified on 05/16/2023)

Sample Information

Sample Taken Date09/17/2025 Sample Unique Key17
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/17/2025
Sample typeAcceptance A brief description of the sample7/8 - 9 5-1/2" ASTM F3125 GR A490 Bolt
The quantity of what the sample constitutesTBD30 From where was the sample collectedSupplier
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpenter
Title of samplerQuality Assurance Inspector Telephone number of sampler415-608-1742
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay Bolt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB24-160-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)3511-11
Heat Number(s)Bolt 10019510 Nut 8000029551 Washer 42329370 Nut Mfg. Lot Number(s)W000149410
Washer Mfg. Lot Number(s)181439 Bolt SpecificationASTM F3125 GR A490
Bolt Length(s)5.5" Nut SpecificationASTM A194
Washer SpecificationASTM F436 FinishPlain
Diameter/Size7/8 - 9 Bolt Mfg. Lot Number636666
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

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