Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-02-22-1

Project Information

Project IdentifiersProject ID: 1000207
DEA: 060Q4324
EFIS: 0619000026
COOP: 061730
DIST-CO-RTE-PM06-TUL-190-13.1/16.6
Award Date06/27/2025
Closeout DateNot set
Work DescriptionHMA, MINOR CONCRETE AND JPCP.
Location DescriptionTULARE COUNTY IN AND NEAR PORTERVILLE AT VARIOUS LOCATIONS FROM 0.2 MILE WEST OF WESTWOOD STREET TO 0.1 MILE EAST OF SOUTH MAIN STREET
QA Service Level1 (Verified on 03/25/2024)

Sample Information

Sample Taken Date02/22/2026 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 testing03/02/2026
Sample typeQuality Assurance A brief description of the sample1-1/2(6)X 4" A325-1 BOLT HDG
The quantity of what the sample constitutes8 From where was the sample collectedSupplier
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 nameST. LOUIS SCREW & BOLT 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)Final163,461 lbs.
Heat Number(s)Bolt 20980870 Hex Nut 21000550 Washer 190H01696 Nut Mfg. Lot Number(s)43252-21000550
Washer Mfg. Lot Number(s)50731-190H01696 Bolt Specification1-1/2(6)X 4" A325-1 BOLT HDG
Bolt Length(s)4" Nut Specification1-1/2(6) HVY HEX NUT A563-DH HDG WAX/DYE
Washer Specification1-1/2 F436-1 STRUCTURAL WASHER HDG FinishHDG
Diameter/Size1-1/2 Bolt Mfg. Lot Number42481-20980870
Rocap Test Requirement(s)NA Lubricant Requirements(s)NA
Washer Inner Diameter(s)NA

Submitted Tests

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