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Sample Record for 2025-05-06-7

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

Project Information

Project ID: 215365 DEA: 120Q9704 EFIS: 1218000010 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405-0/11.4
Work Description: I-405 improvement project from I-5 to Harbor Boulevard including extend pavement life, improve safety, enhance traffic operation, and incorporate Intelligent Transportation Systems (ITS).
Location Description: Orange County I-405 PM 0 - 11.4
Contractor Name: Guy F. Atkinson
Contractor Address: 38 Executive Park, IRVINE CA 92614
Resident Engineer: Mona Shahidi Structure Rep.: Brian Vo

Sample Information

DIME Sample ID: 2025-05-06-7
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: 05/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2025
The quantity of what the sample constitutes: 10
A brief description of the sample: 1 1/4" x 20"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Halo Structural Products

Material Information

Rocap Number(s):
Heat Number(s): 20975430,8000031330, 236822
Nut Mfg. Lot Number(s): W000206516
Washer Mfg. Lot Number(s): 236822 / 40618
Bolt Specification: ASTM F1554
Bolt Length(s): 20"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: ASTM F2329
Diameter/Size: 1 1/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 8

DIME Test ID: 2025-05-06-7-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/21/2025
Date Tested: 05/13/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 20975430
Mfg. Lot Number no data
Finish Coating ASTM A153 - Hot Dip
Product Markings YELLOW
Size 1.25 in
Bolt Length 20 in
Gage Type Pass

Test 2 of 8

DIME Test ID: 2025-05-06-7-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/21/2025
Date Tested: 05/13/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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 W000206516
Finish Coating ASTM A153 - Hot Dip
Product Markings DH N
Size 1.25 in
Gage Type Pass

Test 3 of 8

DIME Test ID: 2025-05-06-7-3
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: 05/21/2025
Date Tested: 05/21/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 20975430
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length 20 in
Measurement Average 10.9 mils

Test 4 of 8

DIME Test ID: 2025-05-06-7-4
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: 05/21/2025
Date Tested: 05/21/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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 W000206516
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length no data in
Measurement Average 4.7 mils

Test 5 of 8

DIME Test ID: 2025-05-06-7-5
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: 05/21/2025
Date Tested: 05/21/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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 236822
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length no data in
Measurement Average 2.2 mils

Test 6 of 8

DIME Test ID: 2025-05-06-7-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/21/2025
Date Tested: 05/21/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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 W000206516
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 29
Spacing Ok

Test 7 of 8

DIME Test ID: 2025-05-06-7-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/21/2025
Date Tested: 05/21/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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 236822
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 35
Spacing Ok

Test 8 of 8

DIME Test ID: 2025-05-06-7-8
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 with Wedge)
Verified Date: 05/21/2025
Date Tested: 05/21/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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
1A209754301.259156000000yield 71150Kleinfelder
UTM NA
Temperature 0 f