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Sample Record for 2025-01-27-3

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

Project Information

Project ID: 1000070 DEA: 072XK404 EFIS: 0724000094 QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description:
Location Description:
Contractor Name: Stacy and Witbeck, INC
Contractor Address: 2800 Harbor Bay Parkway, Alameda, CA, 94502
Resident Engineer: Sam Toutounchian Structure Rep.: Peter Wang

Sample Information

DIME Sample ID: 2025-01-27-3
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: 01/27/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/29/2025
The quantity of what the sample constitutes: 15 pcs.
A brief description of the sample: 3/4" x 2" A325 Bolt Assembly HDG
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cordova Bolt Inc.

Material Information

Rocap Number(s): E026N1-A
Heat Number(s): Bolt- 10854460 Nut- 8000026967 Washer- 32424630
Nut Mfg. Lot Number(s): W000127355
Washer Mfg. Lot Number(s): 0724-330
Bolt Specification: ASTM A325
Bolt Length(s): 2 in
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: HDG ASTM F2329/ A153
Diameter/Size: 3/4
Bolt Mfg. Lot Number: E026N1
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 7

DIME Test ID: 2025-01-27-3-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number E026N1
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length 2 in
Pitch Diameter 0.6885 in
Pitch Diameter 2nd no data in

Test 2 of 7

DIME Test ID: 2025-01-27-3-2
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: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number E026N1
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length 2 in
Measurement Average 2.6 mils

Test 3 of 7

DIME Test ID: 2025-01-27-3-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number E026N1
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length 2 in
Hardness Reading Scale C Scale
Hardness Reading Average 28.9
Spacing Ok

Test 4 of 7

DIME Test ID: 2025-01-27-3-4
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: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000127355
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Measurement Average 2.7 mils

Test 5 of 7

DIME Test ID: 2025-01-27-3-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000127355
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 31.3
Spacing Ok

Test 6 of 7

DIME Test ID: 2025-01-27-3-6
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: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0724-330
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Measurement Average 6 mils

Test 7 of 7

DIME Test ID: 2025-01-27-3-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/18/2025
Date Tested: 02/14/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0724-330
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41
Spacing Ok