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Sample Record for 2022-07-07-1

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

Project Information

Project ID: 993122 DEA: 07322304 EFIS: 0716000054 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110-22.8
Work Description: CONSTRUCT AND REPLACE BRIDGE RAILS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES AT FIFTH STREET OVERCROSSING AND AT SIXTH STREET OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Edgar Herrera Structure Rep.: Peter Wang

Sample Information

DIME Sample ID: 2022-07-07-1
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: 07/07/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2022
The quantity of what the sample constitutes: 41 Anchor Bolts
A brief description of the sample: F1554 anchor rods
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corporation

Material Information

Rocap Number(s): NA
Heat Number(s): 3109873
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): NA
Bolt Specification: F1554 Grade 55
Bolt Length(s): 18 inch
Nut Specification: NA
Washer Specification: NA
Finish: F2329
Diameter/Size: 1 inch
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA
Washer Inner Diameter(s):
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-07-07-1-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 07/12/2022
Date Tested: 07/12/2022
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
131098730.5010.197614858182130spaine
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2022-07-07-1-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 07/12/2022
Date Tested: 07/12/2022
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
231098730.5020.198623158184229.1spaine
UTM 67kip
Temperature 72 f

Test 3 of 4

DIME Test ID: 2022-07-07-1-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 07/12/2022
Date Tested: 07/12/2022
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) 3109873
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 1 in
Bolt Length 18 in
Gage Type Pass

Test 4 of 4

DIME Test ID: 2022-07-07-1-4
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: 07/12/2022
Date Tested: 07/12/2022
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) 3109873
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 1 in
Bolt Length 18 in
Measurement Average 5.7 mils