Sample Record for 2026-06-16-25
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000611 DEA: 120R32U4 EFIS: 1222000054
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-55-0.2/R17.8
Work Description: COLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM.
Location Description: ORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM
Contractor Name: R.J. NOBLE COMPANY
Contractor Address: 15505 East Lincoln Avenue, Orange, CA 92865
Resident Engineer: Tyrone Taylor Structure Rep.: Matthew Chang
Sample Information
DIME Sample ID: 2026-06-16-25
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: 9166394315
Type of Sample: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2026
The quantity of what the sample constitutes: 704
A brief description of the sample: A563 5/8" Hvy Hex Nut
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS
Material Information
Rocap Number(s): N/A
Heat Number(s): 234358
Nut Mfg. Lot Number(s): 38106-234358
Washer Mfg. Lot Number(s): xxx
Bolt Specification: xxx
Bolt Length(s): xxx
Nut Specification: A563 DH
Washer Specification: xxx
Finish: MG
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: xxx
Rocap Test Requirement(s): xxx
Lubricant Requirements(s): xxx
Washer Inner Diameter(s): xxx
Test Results
Test
DIME Test ID: 2026-06-16-25-1
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: 07/09/2026
Date Tested: 07/09/2026
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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38106-234358
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Finish Coating
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ASTM F2329 - Hot Dip
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Product Markings
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no data
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Size
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0.625 in
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Bolt Length
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no data in
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Measurement Average
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3.2 mils
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Test
DIME Test ID: 2026-06-16-25-2
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: 07/09/2026
Date Tested: 07/09/2026
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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38106-234358
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Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
0.625 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.2 mils
|
Test
DIME Test ID: 2026-06-16-25-3
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: 07/09/2026
Date Tested: 07/09/2026
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
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Heat Number(s)
|
no data
|
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Mfg. Lot Number
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38106-234358
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
0.625 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3 mils
|
Test
DIME Test ID: 2026-06-16-25-4
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: 07/09/2026
Date Tested: 07/09/2026
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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2
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| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 38106-234358 | 0.625 | 39550 | 0 | 0 | Nut Proof Load | Kleinfelder | | 1B | 38106-234358 | 0.625 | 39550 | 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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