Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2025-11-23-8
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Project Information
| Project Identifiers | Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-L1.8/L3.2 |
| Award Date | 06/20/2025 |
| Closeout Date | Not set |
| Work Description | Construct I-80 WB Truck Scales |
| Location Description | CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI |
| QA Service Level | 1 (Verified on 07/10/2025) |
Sample Information
| Sample Taken Date | 11/23/2025 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/2" x 28" |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Garcia Arreola |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Portland Bolt - Oregon | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | |
|---|---|---|---|
| Heat Number(s) | Bolt 3139475 Nut B75562 Washer 20954760 | Nut Mfg. Lot Number(s) | BVZJ |
| Washer Mfg. Lot Number(s) | E7951 | Bolt Specification | 1-1/2" x 28" dom. galv. F1554-55 heavy hex bolt with 7-1/2" thd. |
| Bolt Length(s) | 28" | Nut Specification | 1-1/2" dom. galv. A563-DH heavy hex nut |
| Washer Specification | 1-1/2" dom. galv. F436-1 hard washer | Finish | |
| Diameter/Size | 1'-1/2" | Bolt Mfg. Lot Number | |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2025-11-23-8-1 | ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter) | Kevin De Souza, CT HQ - Sacramento Structural Materials Testing Laboratory | 12/04/2025 | 12/04/2025 | No |
Test File Attachments
DIME Test ID: 2025-11-23-8-1 ASME B1.2-83r17