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Sample Record for 2019-12-04-10

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

Project Information

Project ID: 214329 DEA: 120S2404 EFIS: 1220000002 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91,90-6.42/6.5, 6.42
Work Description: repair a damage steel girder by heat straightening as a result of a high load vehicle hit
Location Description: Westbound Route 91 at La Palma Avenue Bridge Structure at PM 6.42
Contractor Name: Beader Construction
Contractor Address: 26320 LESTER CIRCLE, CORONA CA 92883
Resident Engineer: Kifah Ramadan Structure Rep.: Bassem Kabbara

Sample Information

DIME Sample ID: 2019-12-04-10
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: 12/04/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/09/2019
The quantity of what the sample constitutes: 16
A brief description of the sample: 7/8"-9 x 3-1/2" F3125
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unytite Inc

Material Information

Rocap Number(s): 28933-20578460
Heat Number(s): 20578460
Nut Mfg. Lot Number(s): 28526-75071352
Washer Mfg. Lot Number(s): D4913
Bolt Specification: ASTM F3125
Bolt Length(s): 3-1/2
Nut Specification: ASTM A563 Gr. DH
Washer Specification: ASTM 436
Finish: MG
Diameter/Size: 7/8"-9
Bolt Mfg. Lot Number: 28933-20578460
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2019-12-04-10-1
Test Method: ASTM F606-14a: 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: 12/11/2019
Date Tested: 12/10/2019
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: A325 Wedge Tensile
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1A28933-205784600.875071737319.110.00A325 Wedge Tensilespaine
UTM 450kip
Temperature no data

Test 2 of 7

DIME Test ID: 2019-12-04-10-2
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 12/11/2019
Date Tested: 12/10/2019
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1A28526-7507135270105Nut Proof Loadspaine
UTM 450kip
Temperature 72 f

Test 3 of 7

DIME Test ID: 2019-12-04-10-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/11/2019
Date Tested: 12/10/2019
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 28933-20578460
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size .875 in
Bolt Length 3.5 in
Gage Type Pass

Test 4 of 7

DIME Test ID: 2019-12-04-10-4
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: 12/11/2019
Date Tested: 12/10/2019
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 28933-20578460
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size .875 in
Bolt Length 3.5 in
Measurement Average 4.38 mils

Test 5 of 7

DIME Test ID: 2019-12-04-10-5
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: 12/11/2019
Date Tested: 12/10/2019
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 28526-75071352
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .875 in
Bolt Length no data in
Measurement Average 2.82 mils

Test 6 of 7

DIME Test ID: 2019-12-04-10-6
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: 12/11/2019
Date Tested: 12/10/2019
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 D4913
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .875 in
Bolt Length no data in
Measurement Average 3.44 mils

Test 7 of 7

DIME Test ID: 2019-12-04-10-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/11/2019
Date Tested: 12/10/2019
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 D4913
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .875 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.55
Spacing Ok