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Sample Record for 2025-01-30-6

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

Project Information

Project ID: 995492 DEA: 07358204 EFIS: 0719000107 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5823-
Work Description: PROVIDE BUILDING WORK AT A MAINTENANCE STATION.
Location Description: LOS ANGELES COUNTY IN LONG BEACH AT THE PACIFIC PLACE MAINTENANCE STATION AT NORTH 3725 PACIFIC PLACE
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: P O BOX 1006, EUREKA, CA 95502-1006
Resident Engineer: Jeffrey Townsend Structure Rep.: Sami Deeb

Sample Information

DIME Sample ID: 2025-01-30-6
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: 01/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2025
The quantity of what the sample constitutes: 23 Assemblies
A brief description of the sample: 5/8" Fastener Assembly
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C & K Johnson Industries

Material Information

Rocap Number(s):
Heat Number(s): Bolt-10837860 Nut- 20894500 Washer-22409500
Nut Mfg. Lot Number(s): E746P1
Washer Mfg. Lot Number(s): E6528
Bolt Specification: ASTM A325
Bolt Length(s): 2-1/4"
Nut Specification: ASTM A563 Grade DH
Washer Specification: ASTM F436
Finish:
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: E244L1
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 7

DIME Test ID: 2025-01-30-6-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 03/05/2025
Date Tested: 02/13/2025
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) 10837860
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length 2.25 in
Pitch Diameter 0.5754 in
Pitch Diameter 2nd no data in

Test 2 of 7

DIME Test ID: 2025-01-30-6-2
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: 03/05/2025
Date Tested: 02/13/2025
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) 10837860
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length 2.25 in
Measurement Average 3.1 mils

Test 3 of 7

DIME Test ID: 2025-01-30-6-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/05/2025
Date Tested: 02/13/2025
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) 10837860
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length 2.25 in
Hardness Reading Scale C Scale
Hardness Reading Average 29.3
Spacing Ok

Test 4 of 7

DIME Test ID: 2025-01-30-6-4
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: 03/05/2025
Date Tested: 02/13/2025
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) 20894500
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length no data in
Measurement Average 2.9 mils

Test 5 of 7

DIME Test ID: 2025-01-30-6-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/05/2025
Date Tested: 02/13/2025
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) 20894500
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 31.2
Spacing Ok

Test 6 of 7

DIME Test ID: 2025-01-30-6-6
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: 03/05/2025
Date Tested: 02/13/2025
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) 22409500
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length no data in
Measurement Average 2.9 mils

Test 7 of 7

DIME Test ID: 2025-01-30-6-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/05/2025
Date Tested: 02/13/2025
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) 22409500
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 42.1
Spacing Ok