Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2026-02-25-9

Project Information

Project IdentifiersProject ID: 1001824
DEA: 061J3104
EFIS: 0626000064
DIST-CO-RTE-PM06-KER-204-5.9/5.9
Award Date10/06/2025
Closeout DateNot set
Work DescriptionCalloway Canal bridge repair at Bridge No. 50 0209
Location DescriptionReplacement of existing barrier rail and sidewalk on WB direction, demo and reconstruct overhang, remove existing AC overlay (2-ft wide from curb), strengthen deck with carbon fiber reinforced polymer bar, place AC overlay, and install new barrier rail.
QA Service Level1 (Verified on 11/18/2025)

Sample Information

Sample Taken Date02/25/2026 Sample Unique Key9
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing03/03/2026
Sample typeDispute Resolution A brief description of the sample3/4" x 5-1/2" HS Fastener Assy
The quantity of what the sample constitutes1 lot of 20 bolts From where was the sample collectedOther
First name of sampler or witnessed byStacey Last name of sampler or witnessed byDavis
Title of samplerQAI Telephone number of sampler5624806984
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameC & K Johnson Ind. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS86-008-26 Structure unique identifier50-0209
Structure nameCalloway Canal Bridge Bid Item4 - BRIDGE RAIL (ST-75)

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)4186881
Heat Number(s)E048U1 E734T1 e3506 Nut Mfg. Lot Number(s)E734T1
Washer Mfg. Lot Number(s)e3506 Bolt SpecificationASTM F3125, Grade A325
Bolt Length(s)5-1/2" Nut SpecificationASTM F563, Grade DH
Washer SpecificationASTM F436 FinishASTM A153/F2329 - Hot Dip
Diameter/Size3/4" Bolt Mfg. Lot NumberE048U1
Rocap Test Requirement(s)Yes Lubricant Requirements(s)No
Washer Inner Diameter(s)NA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2026-02-25-9-1ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)Andrew Auvinen, CT HQ - Sacramento Structural Materials Testing Laboratory03/03/202603/03/2026
No

Sample File Attachments

File NameExtensionDate UploadedActions
2026-02-25-9pdf02/27/2026   Info

Test File Attachments


DIME Test ID: 2026-02-25-9-1 ASME B1.2-83r17