Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001723 DEA: 050N7064 EFIS: 0524000077
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-10.9/12.3
Work Description: SB 101 - Segment 4E North - Cabrillo
Location Description:
Contractor Name: Granite Construction
Contractor Address: P.O. Box. 6744, Santa Barbara, CA
Resident Engineer: Tristan Gebhart Structure Rep.: Josh Madrigal
DIME Sample ID: 2026-09-25-5
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: 09/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/29/2026
The quantity of what the sample constitutes: 33
A brief description of the sample: 3/4" -10 x 24" x 4"
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp
Rocap Number(s): no
Heat Number(s): 3146016
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: ASTM F1554 Gr. 55
Bolt Length(s): 24"
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG ASTM F-2329
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): no
Lubricant Requirements(s): no
Washer Inner Diameter(s): no
Bolt Mill Supplier:
Nut Mill Supplier:
Washer Mill Supplier:
DIME Test ID: 2026-09-25-5-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 10/14/2026
Date Tested: 09/29/2026
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)
|
3146016
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW
|
|
Size
|
0.75 in
|
|
Bolt Length
|
24 in
|
|
Pitch Diameter
|
0.6960 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2026-09-25-5-2
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: 10/14/2026
Date Tested: 10/13/2026
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)
|
3146016
|
|
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
|
6.1 mils
|
DIME Test ID: 2026-09-25-5-3
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/14/2026
Date Tested: 10/14/2026
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 Samples
|
2
|
| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1 | 3146016 | 0.352 | 0000 | 77931 | 94690 | 26 | Kleinfelder | | 2 | 3146016 | 0.351 | 0000 | 76515 | 94817 | 31 | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
