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Sample Record for 2026-02-16-2

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

Project Information

Project ID: 1000176 DEA: 034H76U4 EFIS: 0323000040 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-32-5.0/10.2
Work Description: REHABILITATE PAVEMENT, INSTALL SIGNAL, LIGHTING, DRAINAGE, & ADA RAMPS
Location Description: BUTTE COUNTY IN CHICO FROM MUIR AVENUE TO INTERCHANGE OF STATE ROUTES 99 AND 32
Contractor Name: BALDWIN CONTRACTING COMPANY, INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 SKYWAY, CHICO CA 95928
Resident Engineer: Husam Makhoul Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2026-02-16-2
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: 02/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/19/2026
The quantity of what the sample constitutes: 100 pcs.
A brief description of the sample: 2" Washers
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Halo Structural Products

Material Information

Rocap Number(s): NA
Heat Number(s): 133604
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): 177136
Bolt Specification: N/A
Bolt Length(s): NA
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: Hot Dip Galvanized ASTM A153/F2329
Diameter/Size: 2"
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA
Washer Inner Diameter(s): NA

Test Results

Test 1 of 4

DIME Test ID: 2026-02-16-2-1
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
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
Data has not been verified.

Test 2 of 4

DIME Test ID: 2026-02-16-2-2
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
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
Data has not been verified.

Test 3 of 4

DIME Test ID: 2026-02-16-2-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
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
Data has not been verified.

Test 4 of 4

DIME Test ID: 2026-02-16-2-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
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
Data has not been verified.