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Sample Record for 2024-12-11-2

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

Project Information

Project ID: 995495 DEA: 101C2704 EFIS: 1014000097 QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-5-27.1
Work Description: REPLACE SAFETY ROADSIDE REST AREA.
Location Description: STATE HIGHWAY IN STANISLAUS COUNTY ABOUT 1.0 MILE SOUTH OF SAN JOAQUIN COUNTY LINE AT THE WESTLEY SAFETY ROADSIDE REST AREA
Contractor Name: TSI ENGINEERING, INC.
Contractor Address: 4600 Roseville Road, Suite140, North Highland, CA 95660
Resident Engineer: Zubair Anwar Structure Rep.: Sai Kasaraneni

Sample Information

DIME Sample ID: 2024-12-11-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2024
The quantity of what the sample constitutes: 291
A brief description of the sample: ASTM A325 .625" X 2" HS Cap Screws
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KW Industries

Material Information

Rocap Number(s): N/A
Heat Number(s): 1000122173
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: ASTM F3125, A325
Bolt Length(s): 2"
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG - Lubricated
Diameter/Size: .625"
Bolt Mfg. Lot Number: W000104060
Rocap Test Requirement(s):
Lubricant Requirements(s): Required
Washer Inner Diameter(s):

Test Results

Test 1 of 9

DIME Test ID: 2024-12-11-2-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 01/17/2025
Date Tested: 01/17/2025
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 W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Pitch Diameter 0.5717 in
Pitch Diameter 2nd no data in

Test 2 of 9

DIME Test ID: 2024-12-11-2-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 01/17/2025
Date Tested: 01/17/2025
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 W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Pitch Diameter 0.5764 in
Pitch Diameter 2nd no data in

Test 3 of 9

DIME Test ID: 2024-12-11-2-3
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 01/17/2025
Date Tested: 01/17/2025
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Pitch Diameter 0.5781 in
Pitch Diameter 2nd no data in

Test 4 of 9

DIME Test ID: 2024-12-11-2-4
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: 01/17/2025
Date Tested: 01/17/2025
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 W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Measurement Average 3.9 mils

Test 5 of 9

DIME Test ID: 2024-12-11-2-5
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: 01/17/2025
Date Tested: 01/17/2025
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 W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Measurement Average 3 mils

Test 6 of 9

DIME Test ID: 2024-12-11-2-6
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: 01/17/2025
Date Tested: 01/17/2025
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Measurement Average 3.1 mils

Test 7 of 9

DIME Test ID: 2024-12-11-2-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/17/2025
Date Tested: 01/17/2025
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 W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Hardness Reading Scale C Scale
Hardness Reading Average 28.7
Spacing Ok

Test 8 of 9

DIME Test ID: 2024-12-11-2-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/17/2025
Date Tested: 01/17/2025
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 W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Hardness Reading Scale C Scale
Hardness Reading Average 31.2
Spacing Ok

Test 9 of 9

DIME Test ID: 2024-12-11-2-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/17/2025
Date Tested: 01/17/2025
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000104060
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .625 in
Bolt Length 2 in
Hardness Reading Scale C Scale
Hardness Reading Average 32.4
Spacing Ok