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Sample Record for 2021-08-19-3

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

Project Information

Project ID: 214175 DEA: 030H4804 EFIS: 0315000198 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-0.1/1.6,11.8/21.6
Work Description: COLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location Description: SACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Sushma Lee Structure Rep.: Kim Noonan

Sample Information

DIME Sample ID: 2021-08-19-3
TL Number from the TL Form: na
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/24/2021
The quantity of what the sample constitutes: 3500
A brief description of the sample: 1" F436 Flat Washer
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc

Material Information

Rocap Number(s): NA
Heat Number(s): 214483
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): 14310
Bolt Specification: NA
Bolt Length(s): NA
Nut Specification: NA
Washer Specification: F436
Finish: Hot Dip Galvanize
Diameter/Size: 1.0"
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA
Test results on following page(s): 11

Test Results

Test 1 of 11

DIME Test ID: 2021-08-19-3-1
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: 09/01/2021
Date Tested: 08/31/2021
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 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 2.82 mils

Test 2 of 11

DIME Test ID: 2021-08-19-3-2
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: 09/01/2021
Date Tested: 08/31/2021
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 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 4.41 mils

Test 3 of 11

DIME Test ID: 2021-08-19-3-3
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: 09/01/2021
Date Tested: 08/31/2021
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 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 2.67 mils

Test 4 of 11

DIME Test ID: 2021-08-19-3-4
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: 09/01/2021
Date Tested: 08/31/2021
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 3.86 mils

Test 5 of 11

DIME Test ID: 2021-08-19-3-5
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: 09/01/2021
Date Tested: 08/31/2021
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 3.74 mils

Test 6 of 11

DIME Test ID: 2021-08-19-3-6
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: 09/01/2021
Date Tested: 08/31/2021
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. 1F
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 4.35 mils

Test 7 of 11

DIME Test ID: 2021-08-19-3-7
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: 09/01/2021
Date Tested: 08/31/2021
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. 1G
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Measurement Average 4.55 mils

Test 8 of 11

DIME Test ID: 2021-08-19-3-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/01/2021
Date Tested: 08/31/2021
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 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 34.8
Spacing Ok

Test 9 of 11

DIME Test ID: 2021-08-19-3-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/01/2021
Date Tested: 08/31/2021
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 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 35.25
Spacing Ok

Test 10 of 11

DIME Test ID: 2021-08-19-3-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/01/2021
Date Tested: 08/31/2021
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 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.8
Spacing Ok

Test 11 of 11

DIME Test ID: 2021-08-19-3-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/01/2021
Date Tested: 08/31/2021
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 14310
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.85
Spacing Ok