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Sample Record for 2025-04-24-15

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

Project Information

Project ID: 1000973 DEA: 101T5604 EFIS: 1025000023 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-99-
Work Description: Bridge Girder Repair
Location Description:
Contractor Name: Valentine Corp
Contractor Address: 111 Pelican Way, San Rafael, CA 94901
Resident Engineer: Chris Hanson Structure Rep.: Daniel Laureno

Sample Information

DIME Sample ID: 2025-04-24-15
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: 04/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2025
The quantity of what the sample constitutes: 7
A brief description of the sample: 1" X 3.5" HSB Assembly
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Acampo Road Bridge # 29-0146
The fabricator/manufacturer/facility name: Bay Bolt

Material Information

Rocap Number(s): 9960-02
Heat Number(s): 10395150, 8000029712, 42329370
Nut Mfg. Lot Number(s): W000184125
Washer Mfg. Lot Number(s): 176720
Bolt Specification: ASTM F3125
Bolt Length(s): 3.5"
Nut Specification: ASTM A563 DH
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number: 758359
Rocap Test Requirement(s): yes
Lubricant Requirements(s): green dye
Washer Inner Diameter(s):

Test Results

Test 1 of 8

DIME Test ID: 2025-04-24-15-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 06/11/2025
Date Tested: 05/06/2025
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 758359
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 LE USA
Size 1 in
Bolt Length 3.50 in
Gage Type Pass

Test 2 of 8

DIME Test ID: 2025-04-24-15-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/11/2025
Date Tested: 05/06/2025
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 W000184125
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1.125 in
Gage Type Pass

Test 3 of 8

DIME Test ID: 2025-04-24-15-3
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: 06/11/2025
Date Tested: 06/10/2025
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 758359
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.9 mils

Test 4 of 8

DIME Test ID: 2025-04-24-15-4
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: 06/11/2025
Date Tested: 06/10/2025
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 W000184125
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 3.3 mils

Test 5 of 8

DIME Test ID: 2025-04-24-15-5
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: 06/11/2025
Date Tested: 06/10/2025
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 176720
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1 in
Bolt Length no data in
Measurement Average 2.5 mils

Test 6 of 8

DIME Test ID: 2025-04-24-15-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/11/2025
Date Tested: 06/10/2025
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 W000184125
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 31.5
Spacing Ok

Test 7 of 8

DIME Test ID: 2025-04-24-15-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/11/2025
Date Tested: 06/10/2025
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 176720
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.1
Spacing Ok

Test 8 of 8

DIME Test ID: 2025-04-24-15-8
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)
Verified Date: 06/11/2025
Date Tested: 06/10/2025
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
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1A7583591836500NAW Torres
UTM NA
Temperature 72 f