Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001645 DEA: 051R1004 EFIS: 0523000125
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO, -1-32.6
Work Description: BRIDGE REPLACEMENT, HMA, AND RSP PROTECTION.
Location Description: SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT TORO CREEK BRIDGE
Contractor Name: SOUZA CONSTRUCTION
Contractor Address: 4027 Santa Fe Road, San Luis Obispo, CA 93403
Resident Engineer: Dean Russu Structure Rep.: Dave Lewis
DIME Sample ID: 2026-05-19-37
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: 06/01/2026
The quantity of what the sample constitutes: 57
A brief description of the sample: Hex Bolt
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): 256375
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 gr 105
Bolt Length(s): 18"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1-1/4
Bolt Mfg. Lot Number: 67193
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Washer Inner Diameter(s): na
DIME Test ID: 2026-05-19-37-1
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)
|
256375
|
|
Mfg. Lot Number
|
B390-046-26
|
|
Finish Coating
|
ASTM A153 - Hot Dip
|
|
Product Markings
|
RED
|
|
Size
|
1.25 in
|
|
Bolt Length
|
18.00 in
|
|
Pitch Diameter
|
1.1615 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-37-2
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)
|
256375
|
|
Mfg. Lot Number
|
B390-046-26
|
|
Finish Coating
|
ASTM A153 - Hot Dip
|
|
Product Markings
|
RED
|
|
Size
|
1.25 in
|
|
Bolt Length
|
18.00 in
|
|
Pitch Diameter
|
1.1565 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-05-19-37-3
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: 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)
|
256375
|
|
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
|
4.8 mils
|
DIME Test ID: 2026-05-19-37-4
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: 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)
|
256375
|
|
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
|
3.6 mils
|
DIME Test ID: 2026-05-19-37-5
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: 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:
|
Number of Bolt Samples
|
2
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 256375 | 1.25 | 136355 | 0 | 0 | NA | WSP | | 1B | 256375 | 1.25 | 123730 | 0 | 0 | NA | WSP |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
