Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2026-03-25-7

Project Information

Project IdentifiersProject ID: 1001767
DEA: 043X7004
EFIS: 0425000313
DIST-CO-RTE-PM04-SOL-80-0.55/0.55
Award DateNot set
Closeout DateNot set
Work DescriptionStructural Damage of the Carquinez Toll Plaza Building and It's Supporting Columns
Location DescriptionCarquinez Toll Plaza Building
QA Service Level1 (Verified on 11/20/2025)

Sample Information

Sample Taken Date03/25/2026 Sample Unique Key7
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleF3125 Anchor Bolt
The quantity of what the sample constitutes5 From where was the sample collectedJob Site
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpenter
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBay 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)N/A
Heat Number(s)10915060, 8000027025, 2242004 Nut Mfg. Lot Number(s)W000184978
Washer Mfg. Lot Number(s)411626 Bolt SpecificationA325
Bolt Length(s)7-1/2" Nut Specification1045L
Washer SpecificationF436 FinishHD
Diameter/Size1.0" Bolt Mfg. Lot NumberE415S1
Rocap Test Requirement(s)No Lubricant Requirements(s)Green Wax
Washer Inner Diameter(s)1

Submitted Tests

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