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Sample Record for 2024-10-09-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 994816 DEA: 010E11U4 EFIS: 0123000069 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1-31.1/31.6
Work Description: STRUCTURAL CONC BRIDGE, TEMP BRIDGE AND BAR REINFORCING STEEL.
Location Description: MENDOCINO COUNTY NEAR ELK FROM 0.2 MILE SOUTH OF ELK CREEK BRIDGE TO 0.2 MILE NORTH OF ELK CREEK BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: Mojtaba Mosallai Structure Rep.: Mostafa Bayoumi

Sample Information

DIME Sample ID: 2024-10-09-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/14/2024
The quantity of what the sample constitutes: 30
A brief description of the sample: 1-3/4" A563 HDG Nuts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C&K Johnson

Material Information

Rocap Number(s): N/A
Heat Number(s): 20939490
Nut Mfg. Lot Number(s): BVTP
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: ASTM A563
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1-3/4"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s):
Lubricant Requirements(s): Wax
Washer Inner Diameter(s):

Test Results

Test 1 of 4

DIME Test ID: 2024-10-09-2-1
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 01/14/2025
Date Tested: 01/15/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BVTP
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.75 in
Bolt Length no data in
Measurement Average 5.1 mils

Test 2 of 4

DIME Test ID: 2024-10-09-2-2
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 01/14/2025
Date Tested: 01/15/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BVTP
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.75 in
Bolt Length no data in
Measurement Average 5.1 mils

Test 3 of 4

DIME Test ID: 2024-10-09-2-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/14/2025
Date Tested: 01/15/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BVTP
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 27.8
Spacing Ok

Test 4 of 4

DIME Test ID: 2024-10-09-2-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/14/2025
Date Tested: 01/15/2025
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BVTP
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 31.3
Spacing Ok