Sample Record for 2026-06-04-4
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: 2026-06-04-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/04/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2026
The quantity of what the sample constitutes: 3080
A brief description of the sample: 1-1/4" x 16" Heavy 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
Material Information
Rocap Number(s): N/A
Heat Number(s): 21036040
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: F1554 Gr.1 05
Bolt Length(s): 16
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1-1/4"
Bolt Mfg. Lot Number: 4354
Rocap Test Requirement(s): 0
Lubricant Requirements(s): 0
Washer Inner Diameter(s): 0
Test Results
Test
DIME Test ID: 2026-06-04-4-1
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: 06/12/2026
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)
|
21036040
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
RED
|
|
Size
|
1.25 in
|
|
Bolt Length
|
16 in
|
|
Pitch Diameter
|
1.158 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-04-4-2
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: 06/12/2026
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)
|
21036040
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
RED
|
|
Size
|
1.25 in
|
|
Bolt Length
|
16 in
|
|
Pitch Diameter
|
1.162 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-04-4-3
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: 06/12/2026
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)
|
21036040
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
RED
|
|
Size
|
1.25 in
|
|
Bolt Length
|
16 in
|
|
Pitch Diameter
|
1.170 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-06-04-4-4
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: 06/25/2026
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
|
21036040
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
5.7 mils
|
Test
DIME Test ID: 2026-06-04-4-5
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: 06/25/2026
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
|
21036040
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
6.4 mils
|
Test
DIME Test ID: 2026-06-04-4-6
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: 06/25/2026
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
|
21036040
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
5.8 mils
|
Test
DIME Test ID: 2026-06-04-4-7
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: 06/25/2026
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 | 21036040 | 1.25 | 134240 | 0 | 0 | Yield 117650 | Kleinfelder | | 1B | 21036040 | 1.25 | 134760 | 0 | 0 | Yield 117610 | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
