Sample Record for 2025-09-29-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000611 DEA: 120R32U4 EFIS: 1222000054
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-55-0.2/R17.8
Work Description: COLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM.
Location Description: ORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM
Contractor Name: R.J. NOBLE COMPANY
Contractor Address: 15505 East Lincoln Avenue, Orange, CA 92865
Resident Engineer: Tyrone Taylor Structure Rep.: Matthew Chang
Sample Information
DIME Sample ID: 2025-09-29-1
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: 09/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/13/2025
The quantity of what the sample constitutes: 1 anchor bolt fastener assembly
A brief description of the sample: HDG 2.25" x 75.5" F1554 G55 Anchor bolt assembly with 2.25"x4.5" Heavy Hex Nut 2H/DH ASTM A563, 2.25" F436 hardened washer,
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Halo Structural Products
Material Information
Rocap Number(s):
Heat Number(s): 79018794, 20987800, 149373
Nut Mfg. Lot Number(s): BZDR
Washer Mfg. Lot Number(s): 412408
Bolt Specification: ASTM F1554 (G55)
Bolt Length(s): 75.5"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: HDG/PLAIN
Diameter/Size: 2-1/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
Test 1 of 11
DIME Test ID: 2025-09-29-1-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 10/21/2025
Date Tested: 10/13/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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
|
no data
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Heat Number(s)
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79018794
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Mfg. Lot Number
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no data
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Finish Coating
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Plain and A153 and F2329
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Product Markings
|
YELLOW
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Size
|
2.25 in
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Bolt Length
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75.5 in
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Pitch Diameter
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2.128 in
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Pitch Diameter 2nd
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2.128 in
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Test 2 of 11
DIME Test ID: 2025-09-29-1-2
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: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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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79018794
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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
|
2.25 in
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Bolt Length
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75.5 in
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Measurement Average
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7 mils
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Test 3 of 11
DIME Test ID: 2025-09-29-1-3
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: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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
|
no data
|
|
Heat Number(s)
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no data
|
|
Mfg. Lot Number
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BZDR
|
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Finish Coating
|
ASTM F2329 - Hot Dip
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|
Product Markings
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no data
|
|
Size
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2.25 in
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Bolt Length
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no data in
|
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Measurement Average
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3.5 mils
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Test 4 of 11
DIME Test ID: 2025-09-29-1-4
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: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
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1B
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|
Rocap Number
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no data
|
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Heat Number(s)
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no data
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Mfg. Lot Number
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BZDR
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Finish Coating
|
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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2.25 in
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Bolt Length
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no data in
|
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Measurement Average
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3.6 mils
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Test 5 of 11
DIME Test ID: 2025-09-29-1-5
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: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
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1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
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412408
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Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
2.25 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.5 mils
|
Test 6 of 11
DIME Test ID: 2025-09-29-1-6
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: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
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Mfg. Lot Number
|
412408
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Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
2.25 in
|
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Bolt Length
|
no data in
|
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Measurement Average
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5.7 mils
|
Test 7 of 11
DIME Test ID: 2025-09-29-1-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/21/2025
Date Tested: 10/21/2025
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: 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
|
BZDR
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
2.25 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
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Hardness Reading Average
|
32
|
|
Spacing
|
Ok
|
Test 8 of 11
DIME Test ID: 2025-09-29-1-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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
|
BZDR
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
2.25 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
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C Scale
|
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Hardness Reading Average
|
31
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Spacing
|
Ok
|
Test 9 of 11
DIME Test ID: 2025-09-29-1-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/21/2025
Date Tested: 10/21/2025
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: 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
|
412408
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
2.25 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
39
|
|
Spacing
|
Ok
|
Test 10 of 11
DIME Test ID: 2025-09-29-1-10
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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
|
412408
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
2.25 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
39
|
|
Spacing
|
Ok
|
Test 11 of 11
DIME Test ID: 2025-09-29-1-11
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: 10/21/2025
Date Tested: 10/21/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of Bolt Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 79018794 | 2.25 | 306280 | 0000 | 0000 | yield 225100 | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
