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Sample Record for 2025-01-30-7

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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: 2025-01-30-7
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: 17 Assemblies
A brief description of the sample: ¾” Anchor Bolt Assemblies
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-3135485 Nut-20902510 Washer-D2293
Nut Mfg. Lot Number(s): 24-42-010
Washer Mfg. Lot Number(s): 0924-389
Bolt Specification: ASTM A1554 Grade 36
Bolt Length(s): 17"
Nut Specification: ASTM A563 Grade A
Washer Specification: ASTM F436 Type 1
Finish: hdg
Diameter/Size: 3/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 6

DIME Test ID: 2025-01-30-7-1
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: 02/17/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 20902510
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Measurement Average 2.8 mils

Test 2 of 6

DIME Test ID: 2025-01-30-7-2
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/05/2025
Date Tested: 02/17/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 20902510
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 12.4
Spacing Ok

Test 3 of 6

DIME Test ID: 2025-01-30-7-3
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: 03/05/2025
Date Tested: 02/17/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) D2293
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Measurement Average 3 mils

Test 4 of 6

DIME Test ID: 2025-01-30-7-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/05/2025
Date Tested: 02/17/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) D2293
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.8
Spacing Ok

Test 5 of 6

DIME Test ID: 2025-01-30-7-6
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: 02/17/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3135485
Mfg. Lot Number no data
Finish Coating Plain
Product Markings no data
Size 0.75 in
Bolt Length 17 in
Measurement Average 4.9 mils

Test 6 of 6

DIME Test ID: 2025-01-30-7-7
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 03/05/2025
Date Tested: 03/05/2025
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
1A3135485.750.33464701796110000Atlas
UTM NA
Temperature 0 f