Sample Record for 2025-02-12-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995320 DEA: 072XC604 EFIS: 0723000084
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33-12.6/16.5, 12.6/23.75
Work Description: Remove the mud and debris from the roadway, repair the eroded slopes, clean the drainage systems and basins, repair the damaged shoulders and roadside signs and markers, and fix the compromised drainage system
Location Description:
Contractor Name: Union Engineering Company Inc.
Contractor Address: P.O. BOX 1000, VENTURA, CA 93002
Resident Engineer: Shamim Naderi Structure Rep.: Hussam Buran
Sample Information
DIME Sample ID: 2025-02-12-1
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: 02/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/21/2025
The quantity of what the sample constitutes: 40 Anchor Assemblies
A brief description of the sample: ASTM F1554 Gr 105 Anchor Bolt with nuts and washers
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Industrial Bolt and Supply
Material Information
Rocap Number(s):
Heat Number(s): Bolt- 10889100
Nut- 223575
Washer- 12133230
Nut Mfg. Lot Number(s): 37077-223575
Washer Mfg. Lot Number(s): 177631
Bolt Specification: F1554 Grade 105 HDG
Bolt Length(s): 1'
Nut Specification: ASTM A563 Grade DH HDG
Washer Specification: ASTM F436 HDG
Finish: ASTM A153- Hot Dip
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 2411261-44A
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
Test 1 of 15
DIME Test ID: 2025-02-12-1-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 03/04/2025
Date Tested: 02/20/2025
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.
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1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10889100
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
RED
|
|
Size
|
0.75 in
|
|
Bolt Length
|
12 in
|
|
Gage Type
|
Pass
|
Test 2 of 15
DIME Test ID: 2025-02-12-1-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/04/2025
Date Tested: 02/20/2025
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
|
37077-223575
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
U DH
|
|
Size
|
0.75 in
|
|
Gage Type
|
Pass
|
Test 3 of 15
DIME Test ID: 2025-02-12-1-3
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/04/2025
Date Tested: 02/20/2025
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
|
37077-223575
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
U DH
|
|
Size
|
0.75 in
|
|
Gage Type
|
Pass
|
Test 4 of 15
DIME Test ID: 2025-02-12-1-4
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Reduced Tensile)
Verified Date: 03/04/2025
Date Tested: 02/25/2025
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:
|
Number of Samples
|
1
|
| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1A | 10889100 | 0.75 | 0.334 | 126437 | 138263 | 000 | Willie Torres |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
Test 5 of 15
DIME Test ID: 2025-02-12-1-5
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: 03/04/2025
Date Tested: 02/25/2025
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)
|
10889100
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.5 mils
|
Test 6 of 15
DIME Test ID: 2025-02-12-1-6
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: 03/04/2025
Date Tested: 02/25/2025
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10889100
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.1 mils
|
Test 7 of 15
DIME Test ID: 2025-02-12-1-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/04/2025
Date Tested: 02/25/2025
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)
|
10889100
|
|
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
|
29
|
|
Spacing
|
Ok
|
Test 8 of 15
DIME Test ID: 2025-02-12-1-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/04/2025
Date Tested: 02/25/2025
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10889100
|
|
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
|
28.9
|
|
Spacing
|
Ok
|
Test 9 of 15
DIME Test ID: 2025-02-12-1-9
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: 03/04/2025
Date Tested: 02/25/2025
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)
|
10889100
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.2 mils
|
Test 10 of 15
DIME Test ID: 2025-02-12-1-10
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: 03/04/2025
Date Tested: 02/25/2025
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10889100
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
2.9 mils
|
Test 11 of 15
DIME Test ID: 2025-02-12-1-11
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/04/2025
Date Tested: 02/25/2025
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)
|
10889100
|
|
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
|
38.5
|
|
Spacing
|
Ok
|
Test 12 of 15
DIME Test ID: 2025-02-12-1-12
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/04/2025
Date Tested: 02/25/2025
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10889100
|
|
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
|
38.4
|
|
Spacing
|
Ok
|
Test 13 of 15
DIME Test ID: 2025-02-12-1-13
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: 03/04/2025
Date Tested: 03/04/2025
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)
|
10889100
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
.75 in
|
|
Bolt Length
|
12 in
|
|
Measurement Average
|
4.2 mils
|
Test 14 of 15
DIME Test ID: 2025-02-12-1-14
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 03/04/2025
Date Tested: 03/04/2025
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
|
| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1A | 10889100 | .75 | 0.334 | 126437 | 138263 | 0000 | Atlas |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
Test 15 of 15
DIME Test ID: 2025-02-12-1-15
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
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
Data has not been verified.
