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Sample Record for 2025-08-20-9

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

Project Information

Project ID: 994828 DEA: 043Y4104 EFIS: 0423000232 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,SM-680-25.04/25.46, VAR/VAR
Work Description: Paint removal and non-destructive testing (NDT) on butt weld connections on T1 type steel in fracture critical members of three distinct existing toll bridge.
Location Description: Carquinez Bridge Overhead (Br. No. 23-0015R), Benicia-Martinez Bridge Overhead (Br. No. 28-0153L), and San Mateo-Hayward Bridge (Br. No. 35-0054). County = SM,CC,SOL. Route = 680,80,92.
Contractor Name: Golden State Bridge Inc.
Contractor Address: Unknown
Resident Engineer: Kingston Atako Structure Rep.: Angelo Perez

Sample Information

DIME Sample ID: 2025-08-20-9
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: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2025
The quantity of what the sample constitutes: 30
A brief description of the sample: 7/8 - 9 2-3/4" ASTM F3125 GR A490 Bolt
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Bolt

Material Information

Rocap Number(s): 3511-01
Heat Number(s): Bolt 1000125263 Nut 8000027881 Washer 42329370
Nut Mfg. Lot Number(s): W000149405
Washer Mfg. Lot Number(s): 181439
Bolt Specification: ASTM F3125
Bolt Length(s): 2-3/4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: Plain
Diameter/Size: 7/8-9
Bolt Mfg. Lot Number: W000210903
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 4

DIME Test ID: 2025-08-20-9-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 09/02/2025
Date Tested: 09/02/2025
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 W000210903
Finish Coating Plain
Product Markings no data
Size 0.875 in
Bolt Length 2.75 in
Pitch Diameter 0.7954 in
Pitch Diameter 2nd 0.7954 in

Test 2 of 4

DIME Test ID: 2025-08-20-9-2
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/02/2025
Date Tested: 09/02/2025
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 W00149405
Finish Coating Plain
Product Markings no data
Size 0.875 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 33
Spacing Ok

Test 3 of 4

DIME Test ID: 2025-08-20-9-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/02/2025
Date Tested: 09/02/2025
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 181439
Finish Coating Plain
Product Markings no data
Size 0.875 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 43
Spacing Ok

Test 4 of 4

DIME Test ID: 2025-08-20-9-4
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: 09/02/2025
Date Tested: 09/02/2025
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
1AW0002109030.875749350NAWSP
UTM NA
Temperature 72 f