Sample Record for 2026-07-08-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001640 DEA: 010N2904 EFIS: 0123000202
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-197,199-Var
Work Description: REPLACE BRIDGE, EXCAVATION, AND RETAINING WALLS.
Location Description: DEL NORTE COUNTY AT VARIOUS LOCATIONS
Contractor Name: McCullough Construction, Inc.
Contractor Address: 57 Aldergrove Rd, Arcata, CA 95521
Resident Engineer: Aaron Valley Structure Rep.: Joshua Erler
Sample Information
DIME Sample ID: 2026-07-08-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/08/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2026
The quantity of what the sample constitutes: 3 OF 458
A brief description of the sample: 3/4" X 12"
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT
Material Information
Rocap Number(s): NONE
Heat Number(s): 1000129255
Nut Mfg. Lot Number(s): none
Washer Mfg. Lot Number(s): none
Bolt Specification: A449
Bolt Length(s): 12"
Nut Specification: none
Washer Specification: none
Finish: Galvanize
Diameter/Size: 3/4
Bolt Mfg. Lot Number: 1000129255
Rocap Test Requirement(s): none
Lubricant Requirements(s): none
Washer Inner Diameter(s): none
Test Results
Test
DIME Test ID: 2026-07-08-7-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 08/25/2026
Date Tested: 07/21/2026
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
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|
Rocap Number
|
no data
|
|
Heat Number(s)
|
1000129255
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
12 in
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Pitch Diameter
|
0.696 in
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Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-07-08-7-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 08/25/2026
Date Tested: 07/21/2026
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)
|
1000129255
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Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
12 in
|
|
Pitch Diameter
|
0.698 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-07-08-7-3
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 08/25/2026
Date Tested: 07/21/2026
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)
|
1000129255
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
0.75 in
|
|
Bolt Length
|
12 in
|
|
Pitch Diameter
|
0.6895 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-07-08-7-4
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: 08/25/2026
Date Tested: 08/24/2026
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)
|
1000129255
|
|
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
|
6.5 mils
|
Test
DIME Test ID: 2026-07-08-7-5
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: 08/25/2026
Date Tested: 08/24/2026
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)
|
1000129255
|
|
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
|
4.6 mils
|
Test
DIME Test ID: 2026-07-08-7-6
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: 08/25/2026
Date Tested: 08/24/2026
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)
|
1000129255
|
|
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
|
Test
DIME Test ID: 2026-07-08-7-7
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: 08/25/2026
Date Tested: 08/25/2026
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
|
3
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 1000129255 | .75 | 47490 | 0000 | 0000 | A449 | Atlas | | 1B | 1000129255 | .75 | 47510 | 0000 | 0000 | A449 | Atlas | | 1C | 1000129255 | .75 | 48050 | 0000 | 0000 | A449 | Atlas |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
