Sample Record for 2026-08-25-5
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R9.2/R11.4
Work Description: CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300
Resident Engineer: Steve Kinaly Structure Rep.: Wei-Jen Lee
Sample Information
DIME Sample ID: 2026-08-25-5
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: 08/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2026
The quantity of what the sample constitutes: 4000
A brief description of the sample: 1" 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: Mech. Galvanization
Diameter/Size: 1"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s): 0
Lubricant Requirements(s): 0
Washer Inner Diameter(s): 0
Bolt Mill Supplier:
Nut Mill Supplier:
Washer Mill Supplier:
Test Results
Test
DIME Test ID: 2026-08-25-5-1
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: 09/24/2026
Date Tested: 09/17/2026
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
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|
Rocap Number
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no data
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Heat Number(s)
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242500
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Mfg. Lot Number
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no data
|
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Finish Coating
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ASTM B695 - Mech Galv
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|
Product Markings
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no data
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|
Size
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1 in
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Bolt Length
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no data in
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|
Measurement Average
|
3.5 mils
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Test
DIME Test ID: 2026-08-25-5-2
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: 09/24/2026
Date Tested: 09/17/2026
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
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Rocap Number
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no data
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|
Heat Number(s)
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242500
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Mfg. Lot Number
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no data
|
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Finish Coating
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ASTM B695 - Mech Galv
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|
Product Markings
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no data
|
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Size
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1 in
|
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Bolt Length
|
no data in
|
|
Measurement Average
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2.9 mils
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Test
DIME Test ID: 2026-08-25-5-3
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: 09/24/2026
Date Tested: 09/17/2026
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
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
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242500
|
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Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
1 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.2 mils
|
Test
DIME Test ID: 2026-08-25-5-4
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: 09/24/2026
Date Tested: 09/17/2026
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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1D
|
|
Rocap Number
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no data
|
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Heat Number(s)
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242500
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Mfg. Lot Number
|
no data
|
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Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
1 in
|
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Bolt Length
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no data in
|
|
Measurement Average
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3.3 mils
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