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Sample Record for 2024-11-21-4

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-11-21-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/21/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/21/2024
The quantity of what the sample constitutes: 94
A brief description of the sample: Hex Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc.

Material Information

Rocap Number(s): na
Heat Number(s): 1000127382
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 gr 105
Bolt Length(s): 16"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1-1/4"
Bolt Mfg. Lot Number: 2682-1
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Washer Inner Diameter(s):
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2024-11-21-4-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 12/13/2024
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:
Number of Samples 2
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
1A10001273821.2500.9691117851288750Atlas
2A10001273821.2500.9691111971290200Atlas
UTM NA
Temperature 0 f

Test 2 of 3

DIME Test ID: 2024-11-21-4-2
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: 12/13/2024
Date Tested: 12/13/2024
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) 1000127382
Mfg. Lot Number no data
Finish Coating Plain and ASTM A153 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length 16 in
Measurement Average 10.2 mils

Test 3 of 3

DIME Test ID: 2024-11-21-4-3
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: 12/13/2024
Date Tested: 12/13/2024
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) 1000127382
Mfg. Lot Number no data
Finish Coating Plain and ASTM A153 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length 16 in
Measurement Average 10.1 mils