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Sample Record for 2024-11-18-3

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Project Information

Project ID: 994978 DEA: 09379504 EFIS: 0919000009 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-5709-
Work Description: CONSTRUCT BUILDING AND PLACE HMA.
Location Description: INYO COUNTY AT INDEPENDENCE AT THE INDEPENDENCE MAINTENANCE STATION AT 665 NORTH EDWARDS STREET
Contractor Name: FEC FUTURE CONTRACTORS AND ENGINEERS INC
Contractor Address: 184 Technology Drive, Irvine, CA 92618
Resident Engineer: George Elzawy Structure Rep.: Derek Armon

Sample Information

DIME Sample ID: 2024-11-18-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/18/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/03/2024
The quantity of what the sample constitutes: 20
A brief description of the sample: F1554 anchor rods
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A&M Nut & Bolt

Material Information

Rocap Number(s):
Heat Number(s): 3125718 5805910104
Nut Mfg. Lot Number(s): 39872-5805910104
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554 Gr 55
Bolt Length(s): 33”
Nut Specification: ASTM A563
Washer Specification: N/A
Finish: Galv ASTM A123 A153
Diameter/Size: 3/4”
Bolt Mfg. Lot Number: 62772-PPO
Rocap Test Requirement(s):
Lubricant Requirements(s): Blue dye
Washer Inner Diameter(s):

Test Results

Test 1 of 6

DIME Test ID: 2024-11-18-3-1
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: 12/12/2024
Date Tested: 12/11/2024
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: Atlas
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3125718 5805910104
Mfg. Lot Number no data
Finish Coating Plain and ASTM A153 - Hot Dip
Product Markings no data
Size 0.75 in
Bolt Length 33 in
Measurement Average 6 mils

Test 2 of 6

DIME Test ID: 2024-11-18-3-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Reduced Tensile)
Verified Date: 12/12/2024
Date Tested: 12/10/2024
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: Atlas
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
1A3125718 58059101040.750.33468832880540Atlas
UTM NA
Temperature 000 f

Test 3 of 6

DIME Test ID: 2024-11-18-3-3
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: 12/12/2024
Date Tested: 12/12/2024
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: Atlas
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3125718 5805910104
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 3.4 mils

Test 4 of 6

DIME Test ID: 2024-11-18-3-4
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: 12/12/2024
Date Tested: 12/12/2024
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: Atlas
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 3125718 5805910104
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 3.4 mils

Test 5 of 6

DIME Test ID: 2024-11-18-3-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/12/2024
Date Tested: 12/12/2024
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: Atlas
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3125718 5805910104
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.3
Spacing Ok

Test 6 of 6

DIME Test ID: 2024-11-18-3-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/12/2024
Date Tested: 12/12/2024
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: Atlas
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 3125718 5805910104
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28
Spacing Ok