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Sample Record for 2023-06-16-2

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

Project Information

Project ID: 994119 DEA: 033H3904 EFIS: 0317000340 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-22.4
Work Description: STRUCTURAL STEEL BRIDGE AND PRESTRESS STEEL GIRDERS.
Location Description: SACRAMENTO COUNTY IN SACRAMENTO AT THE SOUTH CONNECTOR UNDERCROSSING (BRIDGE NO. 24-0267)
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Hani Eissa Structure Rep.: Delia Muñoz

Sample Information

DIME Sample ID: 2023-06-16-2
TL Number from the TL Form:
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: 06/16/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2023
The quantity of what the sample constitutes: 43 ea
A brief description of the sample: 5/8 " A325 Fastener assemblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 24-0267
Structure name:
The fabricator/manufacturer/facility name: C&K Johnson Industries

Material Information

Rocap Number(s): L905S1R
Heat Number(s): Bolt 10668880 Nut 1000115088 Washer 139586
Nut Mfg. Lot Number(s): W000010649
Washer Mfg. Lot Number(s): 139586
Bolt Specification: A325
Bolt Length(s): 6 1/2"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 5/8
Bolt Mfg. Lot Number: L905s1
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes
Washer Inner Diameter(s):
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2023-06-16-2-1
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)
Verified Date: 06/21/2023
Date Tested: 06/20/2023
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
1A38253Nut Proof Load
UTM 450kip
Temperature 72 f

Test 2 of 7

DIME Test ID: 2023-06-16-2-2
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: 06/21/2023
Date Tested: 06/20/2023
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: 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
1AL905S10.625032817145.9810.00Wedge Tensileaauvinen
UTM 450kip
Temperature no data

Test 3 of 7

DIME Test ID: 2023-06-16-2-3
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 06/21/2023
Date Tested: 06/21/2023
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 L905S1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 LE USA
Size 0.625 in
Bolt Length 6.5 in
Pitch Diameter .566 in
Pitch Diameter 2nd .566 in

Test 4 of 7

DIME Test ID: 2023-06-16-2-4
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: 06/21/2023
Date Tested: 06/21/2023
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 L905S1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 LE USA
Size 0.625 in
Bolt Length 6.5 in
Measurement Average 2.66 mils

Test 5 of 7

DIME Test ID: 2023-06-16-2-5
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: 06/21/2023
Date Tested: 06/21/2023
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 W000010649
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 0.625 in
Bolt Length no data in
Measurement Average 3.18 mils

Test 6 of 7

DIME Test ID: 2023-06-16-2-7
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: 06/21/2023
Date Tested: 06/21/2023
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 139586
Finish Coating ASTM F2329 - Hot Dip
Product Markings W
Size 0.625 in
Bolt Length no data in
Measurement Average 5.33 mils

Test 7 of 7

DIME Test ID: 2023-06-16-2-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/21/2023
Date Tested: 06/21/2023
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 139586
Finish Coating ASTM F2329 - Hot Dip
Product Markings W
Size 0.625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.3
Spacing Ok