Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2026-06-17-5

Project Information

Project IdentifiersProject ID: 1001360
DEA: 09374804
EFIS: 0918000020
DIST-CO-RTE-PM09-INY-395-115.0
Award DateNot set
Closeout DateNot set
Work DescriptionBUILDING WORK AND PLACE HMA (TYPE A).
Location DescriptionINYO COUNTY IN BISHOP AT THE DISTRICT OFFICE AT 500 SOUTH MAIN STREET
QA Service Level1 (Verified on 07/09/2025)

Sample Information

Sample Taken Date06/17/2026 Sample Unique Key5
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 testing06/22/2026
Sample typeQuality Assurance A brief description of the sample3/4" all thread rod w/ nut, bolt and washer
The quantity of what the sample constitutes3 assemblies From where was the sample collectedDistributor
First name of sampler or witnessed byJoaquin Last name of sampler or witnessed byMoreno
Title of samplerQuality Assurance Inspector Telephone number of sampler9095268064
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCordova Bolt Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL161-041-26 Structure unique identifier
Structure name Bid Item72 - BUILDING WORK

Material Information

Material TypeSMTL TM3 - Fastener Assembly Rocap Number(s)N/A
Heat Number(s)348225, 8000037410, 190158330 Nut Mfg. Lot Number(s)W000297338
Washer Mfg. Lot Number(s)1125-837 Bolt SpecificationASTM F1554
Bolt Length(s)144" Nut SpecificationASTM A563
Washer SpecificationASTM F436 FinishGalvanized
Diameter/Size3/4" Bolt Mfg. Lot Number348225
Rocap Test Requirement(s)None Lubricant Requirements(s)None
Washer Inner Diameter(s)None

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2026-06-17-5-1ASME 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 Laboratory06/22/202606/22/2026
No
 

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Test File Attachments


DIME Test ID: 2026-06-17-5-1 ASME B1.2-83r17