Sample Record for 2026-10-01-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000598 DEA: 040Q4804 EFIS: 0418000107
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-84-7.8
Work Description: CONSTRUCT RETAINING WALL, DRAINAGE SYSTEMS, EROSION CONTROL & PLANTING
Location Description: SAN MATEO COUNTY NEAR LA HONDA AT 0.5 MILE WEST OF PESCADERO CREEK ROAD
Contractor Name: Ghilotti Construction Company
Contractor Address: Unknown, Santa Rosa, CA 95407
Resident Engineer: Khalil R. Rahmanyar Structure Rep.: Quang Pham
Sample Information
DIME Sample ID: 2026-10-01-3
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: 10/01/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/07/2026
The quantity of what the sample constitutes: 200
A brief description of the sample: 1.25" X 22" F1554 GR 105 HVY Hex with 6" Thread
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): 79021949
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: A?STM F1554 Gr 105
Bolt Length(s): 22"
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1.25"
Bolt Mfg. Lot Number: 4998
Rocap Test Requirement(s): No
Lubricant Requirements(s): No
Washer Inner Diameter(s): No
Bolt Mill Supplier: gerdau
Nut Mill Supplier: na
Washer Mill Supplier: na
Test Results
Test
DIME Test ID: 2026-10-01-3-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 10/12/2026
Date Tested: 10/12/2026
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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79021949
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|
Mfg. Lot Number
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no data
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|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
1.25 in
|
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Bolt Length
|
22 in
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Pitch Diameter
|
1.1780 in
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Pitch Diameter 2nd
|
no data in
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Test
DIME Test ID: 2026-10-01-3-2
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 10/12/2026
Date Tested: 10/12/2026
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
|
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Heat Number(s)
|
79021949
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Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
1.25 in
|
|
Bolt Length
|
22 in
|
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Pitch Diameter
|
1.1630 in
|
|
Pitch Diameter 2nd
|
no data in
|
Test
DIME Test ID: 2026-10-01-3-3
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: 10/12/2026
Date Tested: 10/12/2026
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)
|
79021949
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
1.25 in
|
|
Bolt Length
|
22 in
|
|
Measurement Average
|
4 mils
|
Test
DIME Test ID: 2026-10-01-3-4
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: 10/12/2026
Date Tested: 10/12/2026
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)
|
79021949
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
|
1.25 in
|
|
Bolt Length
|
22 in
|
|
Measurement Average
|
4.8 mils
|
Test
DIME Test ID: 2026-10-01-3-5
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: 10/12/2026
Date Tested: 10/12/2026
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 | 79021949 | 1.25 | 132230 | 0000 | 0000 | yield 116208 | Kleinfelder |
| |
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UTM
|
NA
|
|
Temperature
|
0 f
|
