Sample Record for 2026-06-04-12
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001281 DEA: 11430234 EFIS: 1118000029
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-0.1/14.6
Work Description: REPLACE CONC PVMT, CONSTRUCT AUX LANE & BIKE TRAIL, ELECT, & LANDSCAPE
Location Description: SAN DIEGO COUNTY IN SAN DIEGO, CHULA VISTA AND NATIONAL CITY FROM 0.3 MILE SOUTH OF ROUTE 805/5 SEPARATION TO ROUTE 805/15 SEPARATION
Contractor Name: GRIFFITH COMPANY
Contractor Address: 13400 Sabre Springs, Suite 200 | San Diego, CA 92128, San Diego, CA 92128
Resident Engineer: Jason Alsheikh Structure Rep.: Carlos Guzman
Sample Information
DIME Sample ID: 2026-06-04-12
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: 2000
A brief description of the sample: 1" F959 (A325) DTI Washer
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): 242500
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): ABTKX2
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: N/A
Washer Specification: F959 DTI
Finish: Mechanical Galvanization
Diameter/Size: 1"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): 0
Lubricant Requirements(s): 0
Washer Inner Diameter(s): 0
Test Results
Test
DIME Test ID: 2026-06-04-12-1
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: 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.
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1A
|
|
Rocap Number
|
no data
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|
Heat Number(s)
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no data
|
|
Mfg. Lot Number
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ABTKX2
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
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1 in
|
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Bolt Length
|
no data in
|
|
Measurement Average
|
3.8 mils
|
Test
DIME Test ID: 2026-06-04-12-2
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: 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.
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1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
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Mfg. Lot Number
|
ABTKX2
|
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Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
1 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
4 mils
|
Test
DIME Test ID: 2026-06-04-12-3
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: 06/25/2026
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
|
ABTKX2
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
1 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.2 mils
|
