Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-02-19-1

Project Information

Project IdentifiersProject ID: 994673
DEA: 033F0704
EFIS: 0312000054
DIST-CO-RTE-PM03-SAC-51-2.0/3.5
Award Date08/17/2023
Closeout DateNot set
Work DescriptionAmerican River Bridge Rehabilitation
Location DescriptionNot set
QA Service Level1 (Verified on 05/15/2023)

Sample Information

Sample Taken Date02/19/2026 Sample Unique Key1
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 testing02/26/2026
Sample typeQuality Assurance A brief description of the sample3/4"x 9"
The quantity of what the sample constitutes142 From where was the sample collectedDistributor
First name of sampler or witnessed byDaniel Last name of sampler or witnessed byGarcia Arreola
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Bolt, San Leandro, CA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)
Heat Number(s)Bolt 10963010 Nut 1000129174 Washer 249480 Bevel Washer 100230143 Nut Mfg. Lot Number(s)W000241461
Washer Mfg. Lot Number(s)Washer 249480 and Beveled Washer E7697 Bolt Specification3/4" x 9-1/2" ASTM F1554-105
Bolt Length(s)9-1/2" Nut Specification3/4" ASTM A194 GR-2H
Washer Specification3/4 ASTM F436 Washer and Bevel Washer FinishHDG
Diameter/Size3/4" Bolt Mfg. Lot Number.750
Rocap Test Requirement(s) Lubricant Requirements(s)
Washer Inner Diameter(s)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2026-02-19-1-1ASME 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 Laboratory02/26/202602/26/2026
No
2026-02-19-1-2ASME 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 Laboratory02/26/202602/26/2026
No

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2026-02-19-1-1 ASME B1.2-83r17
DIME Test ID: 2026-02-19-1-2 ASME B1.2-83r17