Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001473 DEA: 044X1404 EFIS: 0426000005
QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-280-
Work Description:
Location Description:
Contractor Name: Golden State Bridge
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Charles Koos Structure Rep.: Alireza Kashani
DIME Sample ID: 2026-03-27-5
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: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 03/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2026
The quantity of what the sample constitutes: 22 assemblies
A brief description of the sample: A449 HDG anchor bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: XKT Engineering
Rocap Number(s): N/A
Heat Number(s): 201742 5806695102 9412759
Nut Mfg. Lot Number(s): 43298-5806695102
Washer Mfg. Lot Number(s): 26068540
Bolt Specification: ASTM A449
Bolt Length(s): 83-1/8"
Nut Specification: ASTM A194
Washer Specification: ASTM A572 Gr. 50
Finish: HDG
Diameter/Size: 1.500
Bolt Mfg. Lot Number: 26068539
Rocap Test Requirement(s): 0
Lubricant Requirements(s): Yes
Washer Inner Diameter(s): 2 in
DIME Test ID: 2026-03-27-5-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 06/02/2026
Date Tested: 05/20/2026
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)
|
201742
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A449
|
|
Size
|
1.5 in
|
|
Bolt Length
|
83.125 in
|
|
Pitch Diameter
|
1.388 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-03-27-5-2
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: 06/02/2026
Date Tested: 06/02/2026
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)
|
201742
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
5 mils
|
DIME Test ID: 2026-03-27-5-3
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: 06/02/2026
Date Tested: 06/02/2026
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
|
43298-5806695102
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
1.5 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.2 mils
|
DIME Test ID: 2026-03-27-5-4
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: 06/02/2026
Date Tested: 06/02/2026
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
|
26068540
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
4.1 mils
|
DIME Test ID: 2026-03-27-5-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/02/2026
Date Tested: 06/02/2026
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
|
43298-5806695102
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
1.5 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
28
|
|
Spacing
|
Ok
|
DIME Test ID: 2026-03-27-5-6
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: 06/02/2026
Date Tested: 06/02/2026
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
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 201742 | 1.5 | 159480 | 0 | 0 | Yield 136990 | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
