Sample Record for 2026-07-28-24
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000028 DEA: 081J8404 EFIS: 0818000121
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40,58,62,95-Var
Work Description: INSTALL CMS SYSTEM, FURNISH SIGN STRUCTURE, AND SIGN FOUNDATION.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 CONSTRUCTION CIRCLE WEST, IRVINE, CA 92606
Resident Engineer: Khoa Nguyen Structure Rep.: Alex Naime
Sample Information
DIME Sample ID: 2026-07-28-24
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: 07/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/10/2026
The quantity of what the sample constitutes: 70
A brief description of the sample: 1/2" x 2-1/4" A325 Hex Bolt Rocap Assembly
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): TT0202448
Heat Number(s): Bolt - 10764700
Nut - 10844640
Washer - 190H01688
Nut Mfg. Lot Number(s): E566N1
Washer Mfg. Lot Number(s): 52540-190H01688
Bolt Specification: A325 (F3125)
Bolt Length(s): 2-1/4"
Nut Specification: A563 Grade DH
Washer Specification: F436
Finish: Mech. Galv.
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: M5724
Rocap Test Requirement(s): 0
Lubricant Requirements(s): 0
Washer Inner Diameter(s): 0
Test Results
Test
DIME Test ID: 2026-07-28-24-1
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: 08/11/2026
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
|
M5724
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
0.5 in
|
|
Bolt Length
|
2.25 in
|
|
Pitch Diameter
|
0.4535 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-07-28-24-2
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: 08/11/2026
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
|
M5724
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
0.5 in
|
|
Bolt Length
|
2.25 in
|
|
Pitch Diameter
|
0.4545 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-07-28-24-3
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: 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)
|
10764700
|
|
Mfg. Lot Number
|
M5724
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
LE USA A325
|
|
Size
|
0.5 in
|
|
Bolt Length
|
2.25 in
|
|
Measurement Average
|
6.9 mils
|
Test
DIME Test ID: 2026-07-28-24-4
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10764700
|
|
Mfg. Lot Number
|
M5724
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
LE USA A325
|
|
Size
|
0.5 in
|
|
Bolt Length
|
2.25 in
|
|
Measurement Average
|
6.4 mils
|
Test
DIME Test ID: 2026-07-28-24-5
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.
|
1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10644640
|
|
Mfg. Lot Number
|
E566N1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
LE USA DH
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.8 mils
|
Test
DIME Test ID: 2026-07-28-24-6
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
10644640
|
|
Mfg. Lot Number
|
E566N1
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
LE USA DH
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.4 mils
|
Test
DIME Test ID: 2026-07-28-24-7
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)
|
190H016888
|
|
Mfg. Lot Number
|
52540-190H016888
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
F436
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.4 mils
|
Test
DIME Test ID: 2026-07-28-24-8
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)
|
190H016888
|
|
Mfg. Lot Number
|
52540-190H016888
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
F436
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.2 mils
|
Test
DIME Test ID: 2026-07-28-24-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
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)
|
190H016888
|
|
Mfg. Lot Number
|
52540-190H016888
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
F436
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
42
|
|
Spacing
|
Ok
|
Test
DIME Test ID: 2026-07-28-24-10
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
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)
|
190H016888
|
|
Mfg. Lot Number
|
52540-190H016888
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
F436
|
|
Size
|
0.5 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
41
|
|
Spacing
|
Ok
|
Test
DIME Test ID: 2026-07-28-24-11
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: 08/24/2026
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:
|
Number of Bolt Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | M5724 | 0.5 | 19520 | 0 | 0 | Tensile | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
72 f
|
Test
DIME Test ID: 2026-07-28-24-12
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: 08/24/2026
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:
|
Number of Bolt Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 1A | 52540-190H016888 | 0.5 | 24833 | 0 | 0 | Proof Load | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
72 f
|
