Sample Record for 2025-07-30-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993595 DEA: 042Q5504 EFIS: 0419000024
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-12-7.9/14.1
Work Description: RHMA OVERLAY, REPLACE CULVERTS, BRIDGE RAILS, AND MEDIAN BARRIERS.
Location Description: SOLANO COUNTY NEAR SUISUN CITY FROM 0.2 MILE EAST OF LAWLER RANCH PARKWAY TO 0.5 MILE EAST OF SHILOH ROAD
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Court B#400, Concord, CA 94520
Resident Engineer: Asadullah Sarwary Structure Rep.: Kambiz Kouchesfahani
Sample Information
DIME Sample ID: 2025-07-30-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/05/2025
The quantity of what the sample constitutes: 28
A brief description of the sample: F1544 Gr 105 Heavy Hex Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Univeral Industrial Sales
Material Information
Rocap Number(s):
Heat Number(s): 58063033-07
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1544 Grade 105
Bolt Length(s): 20"
Nut Specification: NA
Washer Specification: NA
Finish: Hot Dip Galvanized
Diameter/Size: 1 1/4"
Bolt Mfg. Lot Number: 65325
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
Test 1 of 3
DIME Test ID: 2025-07-30-1-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 08/26/2025
Date Tested: 08/26/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Sample No.
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1A
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Rocap Number
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no data
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Heat Number(s)
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58063033-07
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Mfg. Lot Number
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no data
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Finish Coating
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ASTM F2329 - Hot Dip
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Product Markings
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no data
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Size
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1.25 in
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Bolt Length
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20 in
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Pitch Diameter
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1.1544 in
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Pitch Diameter 2nd
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no data in
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Test 2 of 3
DIME Test ID: 2025-07-30-1-2
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: 08/26/2025
Date Tested: 08/26/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
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1A
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Rocap Number
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no data
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Heat Number(s)
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58063033-07
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Mfg. Lot Number
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no data
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Finish Coating
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ASTM F2329 - Hot Dip
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|
Product Markings
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no data
|
|
Size
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1.25 in
|
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Bolt Length
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20 in
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Measurement Average
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6.4 mils
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Test 3 of 3
DIME Test ID: 2025-07-30-1-3
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: 08/26/2025
Date Tested: 08/26/2025
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: 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
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1
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| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 58063033-07 | 1.25 | 129380 | 0000 | 0000 | yield 123540 | WSP |
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UTM
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NA
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Temperature
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0 f
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