Sample Record for 2026-08-25-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994675 DEA: 07390204 EFIS: 0722000334
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47-0.4 / 2.1
Work Description: Bridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints.
Location Description: RTE 47 between Terminal Island and San Pedro PM 0.4/2.1
Contractor Name: Skanska
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Sam Gallardo Structure Rep.: Sami Deeb
Sample Information
DIME Sample ID: 2026-08-25-7
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: 750
A brief description of the sample: 1-1/4" Heavy Hex Nut
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): 5912382002
Nut Mfg. Lot Number(s): 43461-5912382002
Washer Mfg. Lot Number(s): n/a
Bolt Specification: n/a
Bolt Length(s): n/a
Nut Specification: A563 Gr. DH
Washer Specification: n/a
Finish: HDG w/ Wax & Dye
Diameter/Size: 1-1/4"
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: 2026-08-25-7-1
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: 09/22/2026
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: (213) 505-4213
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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43461-5912382002
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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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1.25 in
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Bolt Length
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no data in
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Measurement Average
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3.4 mils
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Test
DIME Test ID: 2026-08-25-7-2
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: 09/22/2026
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: (213) 505-4213
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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43461-5912382002
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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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1.25 in
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Bolt Length
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no data in
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Measurement Average
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4.2 mils
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Test
DIME Test ID: 2026-08-25-7-3
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: 09/22/2026
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: (213) 505-4213
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Sample No.
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1C
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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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43461-5912382002
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
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no data
|
|
Size
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1.25 in
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Bolt Length
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no data in
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|
Measurement Average
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3.9 mils
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Test
DIME Test ID: 2026-08-25-7-4
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: 09/22/2026
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: (213) 505-4213
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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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 | 43461-5912382002 | 1.25 | 169575 | 0 | 0 | Nut Proof Load | Kleinfelder | | 1B | 43461-5912382002 | 1.25 | 169575 | 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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