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Sample Record for 2025-06-18-1

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

Project Information

Project ID: 995527 DEA: 120S3304 EFIS: 1220000043 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-57-11.0/R22.6
Work Description: MODIFY LIGHTING AND REPLACE PAVEMENT DELINEATION.
Location Description: ORANGE COUNTY IN ORANGE AND BREA FROM 0.2 MILE SOUTH OF CHAPMAN AVENUE UNDERCROSSING TO ORANGE COUNTY LINE.
Contractor Name: CHUMO CONSTRUCTION INC.
Contractor Address: Unknown
Resident Engineer: Artin Merati Structure Rep.: Bijan Ronagh-Langroodi

Sample Information

DIME Sample ID: 2025-06-18-1
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: 06/18/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2025
The quantity of what the sample constitutes: 48
A brief description of the sample: 3” X 56” ROD F1554 GR.55
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Madden Bolt

Material Information

Rocap Number(s):
Heat Number(s): 5806134102, A203569, 202254
Nut Mfg. Lot Number(s): YJY2
Washer Mfg. Lot Number(s): 202254 / 22806, 30129
Bolt Specification: ASTM F1554
Bolt Length(s): 56"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 3"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 10

DIME Test ID: 2025-06-18-1-1
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: 07/16/2025
Date Tested: 07/16/2025
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) 5806134102
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length 56 in
Measurement Average 7.9 mils

Test 2 of 10

DIME Test ID: 2025-06-18-1-2
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: 07/16/2025
Date Tested: 07/16/2025
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 YJY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Measurement Average 5 mils

Test 3 of 10

DIME Test ID: 2025-06-18-1-3
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: 07/16/2025
Date Tested: 07/16/2025
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number YJY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Measurement Average 4.4 mils

Test 4 of 10

DIME Test ID: 2025-06-18-1-4
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: 07/16/2025
Date Tested: 07/16/2025
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) 202254
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Measurement Average 2.5 mils

Test 5 of 10

DIME Test ID: 2025-06-18-1-5
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: 07/16/2025
Date Tested: 07/16/2025
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. 1B
Rocap Number no data
Heat Number(s) 202254
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Measurement Average 2.9 mils

Test 6 of 10

DIME Test ID: 2025-06-18-1-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/16/2025
Date Tested: 07/16/2025
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 YJY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28
Spacing Ok

Test 7 of 10

DIME Test ID: 2025-06-18-1-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/16/2025
Date Tested: 07/16/2025
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number YJY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28
Spacing Ok

Test 8 of 10

DIME Test ID: 2025-06-18-1-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/16/2025
Date Tested: 07/16/2025
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) 202254
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38
Spacing Ok

Test 9 of 10

DIME Test ID: 2025-06-18-1-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/16/2025
Date Tested: 07/16/2025
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. 1B
Rocap Number no data
Heat Number(s) 202254
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 3 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38
Spacing Ok

Test 10 of 10

DIME Test ID: 2025-06-18-1-10
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: 07/16/2025
Date Tested: 07/16/2025
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
1A5806134102355105000000000yield 402980Kleinfelder
UTM NA
Temperature 0 f