Sample Record for 2026-08-25-8
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001403 DEA: 11430824 EFIS: 1119000162
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R66.2/R67.4
Work Description: PCC & HMA PAVING, SIGNS AND STRIPING, WSMS & AUTOMATED LANE CLOSURE.
Location Description: SAN DIEGO COUNTY ABOUT 12 MILES NORTH OF OCEANSIDE FROM 1.2 MILES SOUTH OF SAN ONOFRE COMMERCIAL VEHICLE ENFORCEMENT FACILITIES TO SAN ONOFRE COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: Montano Pipeline
Contractor Address: 231 Fourth Ave, Chula Vista, CA 91910
Resident Engineer: Rosemarie Pagunsan Structure Rep.: Allison Harizal
Sample Information
DIME Sample ID: 2026-08-25-8
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: 258
A brief description of the sample: 1-1/2" x 4-1/2" Hex Bolt
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): 20998500
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): n/a
Bolt Specification: A325
Bolt Length(s): 4-1/2"
Nut Specification: n/a
Washer Specification: n/a
Finish: Mech. Galvanization
Diameter/Size: 1-1/2"
Bolt Mfg. Lot Number: M6370
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: 2026-08-25-8-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 09/24/2026
Date Tested: 09/04/2026
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
|
M6370
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 USA LOGO
|
|
Size
|
1.5 in
|
|
Bolt Length
|
4.5 in
|
|
Pitch Diameter
|
1.3930 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-08-25-8-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 09/24/2026
Date Tested: 09/04/2026
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
|
M6370
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 USA LOGO
|
|
Size
|
1.5 in
|
|
Bolt Length
|
4.5 in
|
|
Pitch Diameter
|
1.3880 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-08-25-8-3
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.
|
1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
M6370
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
1.5 in
|
|
Bolt Length
|
4.5 in
|
|
Measurement Average
|
3.3 mils
|
Test
DIME Test ID: 2026-08-25-8-4
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
M6370
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
no data
|
|
Size
|
1.5 in
|
|
Bolt Length
|
4.5 in
|
|
Measurement Average
|
2.9 mils
|
Test
DIME Test ID: 2026-08-25-8-5
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: 09/24/2026
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:
|
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 | M6370 | 1.5 | 194570 | 0 | 0 | Tensile | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
