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Sample Record for 2019-06-05-5

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 211784 DEA: 11085784 EFIS: 1100000064 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-163-4.1/4.9
Work Description: INTERCHANGE MODIFICATION AND OVERCROSSING WIDENING.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF FRIARS ROAD OVERCROSSING
Contractor Name: Flatiron West Inc
Contractor Address: 1770 La Costa Meadows Dr., San Marcos, CA 92078
Resident Engineer: Dave Cortez Structure Rep.: Alex Balce

Sample Information

DIME Sample ID: 2019-06-05-5
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: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/05/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2019
The quantity of what the sample constitutes: 49
A brief description of the sample: 1/2" F436 MG washers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Struct Steel Products

Material Information

Rocap Number(s): N/A
Heat Number(s): 214765
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): Unknown
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: Mech Galvanized
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): None
Lubricant Requirements(s): None
Washer Inner Diameter(s):
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2019-06-05-5-1
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/19/2019
Date Tested: 06/18/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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 260338
Finish Coating ASTM B695 - Mech Galv
Product Markings WS
Size .5 in
Bolt Length no data in
Measurement Average 2.55 mils

Test 2 of 6

DIME Test ID: 2019-06-05-5-2
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/19/2019
Date Tested: 06/18/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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 260338
Finish Coating ASTM B695 - Mech Galv
Product Markings WS
Size .5 in
Bolt Length no data in
Measurement Average 2.94 mils

Test 3 of 6

DIME Test ID: 2019-06-05-5-3
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 06/19/2019
Date Tested: 06/18/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 260338
Finish Coating ASTM B695 - Mech Galv
Product Markings WS
Size .5 in
Bolt Length no data in
Measurement Average 3.28 mils

Test 4 of 6

DIME Test ID: 2019-06-05-5-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/19/2019
Date Tested: 06/18/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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 260338
Finish Coating ASTM B695 - Mech Galv
Product Markings WS
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40
Spacing Ok

Test 5 of 6

DIME Test ID: 2019-06-05-5-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/19/2019
Date Tested: 06/18/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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 260338
Finish Coating ASTM B695 - Mech Galv
Product Markings WS
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.85
Spacing Ok

Test 6 of 6

DIME Test ID: 2019-06-05-5-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/19/2019
Date Tested: 06/18/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 260338
Finish Coating ASTM B695 - Mech Galv
Product Markings WS
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.35
Spacing Ok