Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-09-17-17
Project Information
| Project Identifiers | Project ID: 994828 DEA: 043Y4104 EFIS: 0423000232 |
|---|---|
| DIST-CO-RTE-PM | 04-CC,SM-680-25.04/25.46, VAR/VAR |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Paint 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 Description | Carquinez 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 Level | 1 (Verified on 05/16/2023) |
Sample Information
| Sample Taken Date | 09/17/2025 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 testing | 09/17/2025 |
| Sample type | Acceptance | A brief description of the sample | 7/8 - 9 5-1/2" ASTM F3125 GR A490 Bolt |
| The quantity of what the sample constitutes | TBD30 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 415-608-1742 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bay Bolt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-160-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL 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 Specification | ASTM F3125 GR A490 |
| Bolt Length(s) | 5.5" | Nut Specification | ASTM A194 |
| Washer Specification | ASTM F436 | Finish | Plain |
| Diameter/Size | 7/8 - 9 | Bolt Mfg. Lot Number | 636666 |
| Rocap Test Requirement(s) | Lubricant Requirements(s) | ||
| Washer Inner Diameter(s) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
