Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994366 DEA: 044J9104 EFIS: 0416000010
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-87-0.0/6.1
Work Description: Cold plane AC, paving with RHMA, upgrade median CB and curb ramp.
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 85/87 SEPARATION TO 0.1 MILE NORTH OF JULIAN STREET UNDERCROSSING.
Contractor Name: O.C. Jones & Sons Inc. (Juan M. Hernandez)
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Ali Nikzad Structure Rep.: STEVE GONG
DIME Sample ID: 2026-05-19-11
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: 05/19/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2026
The quantity of what the sample constitutes: 500
A brief description of the sample: Retest failed Hex Bolts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc
Rocap Number(s): na
Heat Number(s): 10975700
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: A325
Bolt Length(s): 5.0"
Nut Specification: na
Washer Specification: na
Finish: MG
Diameter/Size: 1.125"
Bolt Mfg. Lot Number: M6260
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Washer Inner Diameter(s): na
DIME Test ID: 2026-05-19-11-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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)
|
M6260
|
|
Mfg. Lot Number
|
B390-039-20
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LA USA
|
|
Size
|
1.125 in
|
|
Bolt Length
|
5 in
|
|
Pitch Diameter
|
1.0415 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-11-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
M6260
|
|
Mfg. Lot Number
|
B390-039-20
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LA USA
|
|
Size
|
1.125 in
|
|
Bolt Length
|
5 in
|
|
Pitch Diameter
|
1.0345 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-11-3
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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.
|
1C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
M6260
|
|
Mfg. Lot Number
|
B390-039-20
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LA USA
|
|
Size
|
1.125 in
|
|
Bolt Length
|
5 in
|
|
Pitch Diameter
|
1.0415 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-11-4
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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.
|
1D
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
M6260
|
|
Mfg. Lot Number
|
B390-039-20
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LA USA
|
|
Size
|
1.125 in
|
|
Bolt Length
|
5 in
|
|
Pitch Diameter
|
1.0365 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-11-5
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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.
|
1E
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
M6260
|
|
Mfg. Lot Number
|
B390-039-20
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LA USA
|
|
Size
|
1.125 in
|
|
Bolt Length
|
5 in
|
|
Pitch Diameter
|
1.0355 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-11-6
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 07/07/2026
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.
|
1F
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
M6260
|
|
Mfg. Lot Number
|
B390-039-20
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LA USA
|
|
Size
|
1.125 in
|
|
Bolt Length
|
5 in
|
|
Pitch Diameter
|
1.0365 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-11-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 06/29/2026
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
|
E329W1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
32
|
|
Spacing
|
Ok
|
DIME Test ID: 2026-05-19-11-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 06/29/2026
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
E329W1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
31
|
|
Spacing
|
Ok
|
DIME Test ID: 2026-05-19-11-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 06/29/2026
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.
|
1C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
E329W1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
28
|
|
Spacing
|
Ok
|
DIME Test ID: 2026-05-19-11-10
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 06/29/2026
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.
|
1D
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
E329W1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
30
|
|
Spacing
|
Ok
|
DIME Test ID: 2026-05-19-11-11
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 06/29/2026
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.
|
1E
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
E329W1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
30
|
|
Spacing
|
Ok
|
DIME Test ID: 2026-05-19-11-12
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/07/2026
Date Tested: 06/29/2026
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.
|
1F
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
E329W1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
31
|
|
Spacing
|
Ok
|
