Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-06-18-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1002103 DEA: 081T8404 EFIS: 0826000112 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-162.73 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | SBD-15 Cima Rd Overcrossing (OC) Bridge Hit. Repair damaged bridge |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/15/2026) |
Sample Information
| Sample Taken Date | 06/18/2026 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 06/23/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 7/8" x 2-3/4" assembly |
| The quantity of what the sample constitutes | 63 assemblies | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 9095268064 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cordova Bolt Inc. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | N/A | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | CB-055-01 Rotational Capacity - W000160444-A |
|---|---|---|---|
| Heat Number(s) | W000160444, W000272441, 0425-613 | Nut Mfg. Lot Number(s) | W000272441, 8000035507 |
| Washer Mfg. Lot Number(s) | 0425-613, 244311 | Bolt Specification | ASTM A352 |
| Bolt Length(s) | 2 3/4" | Nut Specification | ASTM A563 |
| Washer Specification | ASTM F436 | Finish | Black |
| Diameter/Size | 7/8" | Bolt Mfg. Lot Number | W000160444, 1000125298 |
| Rocap Test Requirement(s) | ASTM F3125 Caltrans Section 55 | Lubricant Requirements(s) | none |
| Washer Inner Diameter(s) | none |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2026-06-18-6-1 | ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter) | Jereme Morgan, CT HQ - Sacramento Structural Materials Testing Laboratory | 06/24/2026 | 06/24/2026 | No | ||||
| 2026-06-18-6-2 | ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter) | Jereme Morgan, CT HQ - Sacramento Structural Materials Testing Laboratory | 06/24/2026 | 06/24/2026 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-06-18-6-1 ASME B1.2-83r17
DIME Test ID: 2026-06-18-6-2 ASME B1.2-83r17