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Sample Record for 2025-02-28-3

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: 2025-02-28-3
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: 02/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/05/2025
The quantity of what the sample constitutes: 43
A brief description of the sample: 3/4" x 2" Fasteners Assembly
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): W000053666-A
Heat Number(s): 1000219816 8000026967 32424630
Nut Mfg. Lot Number(s): W000127355
Washer Mfg. Lot Number(s): 0724-330
Bolt Specification: ASTM A325
Bolt Length(s): 2"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: ASTM A153
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: W000053666
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 9

DIME Test ID: 2025-02-28-3-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 03/26/2025
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:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000053666
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325T N USA
Size 0.75 in
Bolt Length 2 in
Gage Type Pass

Test 2 of 9

DIME Test ID: 2025-02-28-3-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/26/2025
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:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W000127355
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 0.75 in
Gage Type Pass

Test 3 of 9

DIME Test ID: 2025-02-28-3-3
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: 03/26/2025
Date Tested: 03/26/2025
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 W000053666
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .75 in
Bolt Length 2 in
Measurement Average 2.6 mils

Test 4 of 9

DIME Test ID: 2025-02-28-3-4
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: 03/26/2025
Date Tested: 03/26/2025
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 W000127355
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .75 in
Bolt Length no data in
Measurement Average 4.2 mils

Test 5 of 9

DIME Test ID: 2025-02-28-3-5
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: 03/26/2025
Date Tested: 03/26/2025
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 0724-330
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .75 in
Bolt Length no data in
Measurement Average 12.4 mils

Test 6 of 9

DIME Test ID: 2025-02-28-3-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/26/2025
Date Tested: 03/26/2025
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 W000053666
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .75 in
Bolt Length 2 in
Hardness Reading Scale C Scale
Hardness Reading Average 29.2
Spacing Ok

Test 7 of 9

DIME Test ID: 2025-02-28-3-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/26/2025
Date Tested: 03/26/2025
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 W000127355
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 31.1
Spacing Ok

Test 8 of 9

DIME Test ID: 2025-02-28-3-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/26/2025
Date Tested: 03/26/2025
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 0724-330
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.6
Spacing Ok

Test 9 of 9

DIME Test ID: 2025-02-28-3-9
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)
Verified Date: 03/26/2025
Date Tested: 03/26/2025
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 Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1AW000053666.7546550000010A325Atlas
UTM NA
Temperature 0 f