Sample Record for 2026-05-07-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994675 DEA: 07390204 EFIS: 0722000334
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47-0.4 / 2.1
Work Description: Bridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints.
Location Description: RTE 47 between Terminal Island and San Pedro PM 0.4/2.1
Contractor Name: Skanska
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Sam Gallardo Structure Rep.: Sami Deeb
Sample Information
DIME Sample ID: 2026-05-07-7
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: 05/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2026
The quantity of what the sample constitutes: 4 OF 12,500
A brief description of the sample: 1-1/4 Heavy Hex Nut
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT
Material Information
Rocap Number(s): N/A
Heat Number(s): 256830
Nut Mfg. Lot Number(s): N0093-256830
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: ASTM A563 Gr. DH
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1-1/4
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): None
Lubricant Requirements(s): None
Washer Inner Diameter(s): 0
Test Results
Test
DIME Test ID: 2026-05-07-7-1
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 05/20/2026
Date Tested: 05/19/2026
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:
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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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no data
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Mfg. Lot Number
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N0093-256830
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Finish Coating
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ASTM F2329 - Hot Dip
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Product Markings
|
no data
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Size
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1.25 in
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Bolt Length
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no data in
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Measurement Average
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4.3 mils
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Test
DIME Test ID: 2026-05-07-7-2
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: 05/20/2026
Date Tested: 05/19/2026
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:
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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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N0093-256830
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Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
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no data
|
|
Size
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1.25 in
|
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Bolt Length
|
no data in
|
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Measurement Average
|
4.1 mils
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Test
DIME Test ID: 2026-05-07-7-3
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: 05/20/2026
Date Tested: 05/19/2026
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.
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1C
|
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Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
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Mfg. Lot Number
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N0093-256830
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
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1.25 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
8 mils
|
Test
DIME Test ID: 2026-05-07-7-4
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: 05/20/2026
Date Tested: 05/19/2026
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.
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1D
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|
Rocap Number
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no data
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|
Heat Number(s)
|
no data
|
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Mfg. Lot Number
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N0093-256830
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
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|
Product Markings
|
no data
|
|
Size
|
1.25 in
|
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Bolt Length
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no data in
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|
Measurement Average
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4.4 mils
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Test
DIME Test ID: 2026-05-07-7-5
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: 05/20/2026
Date Tested: 05/19/2026
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
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3
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| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | N0093-256830 | 1.25 | 145350 | 0 | 0 | Nut Proof Load | Kleinfelder | | 1B | N0093-256830 | 1.25 | 145350 | 0 | 0 | Nut Proof Load | Kleinfelder | | 1C | N0093-256830 | 1.25 | 145350 | 0 | 0 | Nut Proof Load | Kleinfelder |
| |
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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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