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Sample Record for 2024-12-03-1

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

Project Information

Project ID: 994525 DEA: 031H9904 EFIS: 0317000043 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-68.3/69.7,0.0/R2.7
Work Description: RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY.
Location Description: PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Randie Babbini Structure Rep.: Carl Anderson

Sample Information

DIME Sample ID: 2024-12-03-1
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: Control Sample
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/03/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/13/2025
The quantity of what the sample constitutes: 56
A brief description of the sample: 2" Anchor Bolt Assembly
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Madden Bolt

Material Information

Rocap Number(s):
Heat Number(s): 58063275, 20947330, 20947310 32420520
Nut Mfg. Lot Number(s): BVWR BVVW
Washer Mfg. Lot Number(s): 0724-317
Bolt Specification: ASTM F1554 Gr 55
Bolt Length(s): 5'
Nut Specification: ASTM A563
Washer Specification: ASTM 572-50
Finish: bare and partial galv HDG
Diameter/Size: 2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 15

DIME Test ID: 2024-12-03-1-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Number of Samples no data
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
UTM NA
Temperature 0 f

Test 2 of 15

DIME Test ID: 2024-12-03-1-2
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: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 4.6 mils

Test 3 of 15

DIME Test ID: 2024-12-03-1-3
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: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 6.7 mils

Test 4 of 15

DIME Test ID: 2024-12-03-1-4
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: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.8 mils

Test 5 of 15

DIME Test ID: 2024-12-03-1-5
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: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.7 mils

Test 6 of 15

DIME Test ID: 2024-12-03-1-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.2
Spacing Ok

Test 7 of 15

DIME Test ID: 2024-12-03-1-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.5
Spacing Ok

Test 8 of 15

DIME Test ID: 2024-12-03-1-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.1
Spacing Ok

Test 9 of 15

DIME Test ID: 2024-12-03-1-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/21/2025
Date Tested: 12/30/2024
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 Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 58063275
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.6
Spacing Ok

Test 10 of 15

DIME Test ID: 2024-12-03-1-10
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/21/2025
Date Tested: 01/21/2025
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. 2A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BVWR
Finish Coating Plain
Product Markings no data
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.5
Spacing Ok

Test 11 of 15

DIME Test ID: 2024-12-03-1-11
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/21/2025
Date Tested: 01/21/2025
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. 2B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BVWR
Finish Coating Plain
Product Markings no data
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 30.2
Spacing Ok

Test 12 of 15

DIME Test ID: 2024-12-03-1-12
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 01/21/2025
Date Tested: 01/21/2025
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) 58063275
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings no data
Size 2 in
Bolt Length 60 in
Pitch Diameter 1.8742 in
Pitch Diameter 2nd no data in

Test 13 of 15

DIME Test ID: 2024-12-03-1-13
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 01/21/2025
Date Tested: 01/21/2025
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) 58063275
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings no data
Size 2 in
Bolt Length 60 in
Pitch Diameter 1.8875 in
Pitch Diameter 2nd no data in

Test 14 of 15

DIME Test ID: 2024-12-03-1-14
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: 01/21/2025
Date Tested: 01/21/2025
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) 58063275
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings no data
Size 2 in
Bolt Length 60 in
Measurement Average 7.1 mils

Test 15 of 15

DIME Test ID: 2024-12-03-1-15
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: 01/21/2025
Date Tested: 01/21/2025
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) 58063275
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings no data
Size 2 in
Bolt Length 60 in
Measurement Average 6.7 mils