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Sample Record for 2023-08-24-4

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

Project Information

Project ID: 215240 DEA: 021H6804 EFIS: 0216000010 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-39/41.9
Work Description: SB Cottonwood Scales
Location Description:
Contractor Name: McCuen Construction, Inc.
Contractor Address: 3269 Swetzer Road, Loomis, CA,95690
Resident Engineer: Edward Worden Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2023-08-24-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/24/2023
The quantity of what the sample constitutes: 2
A brief description of the sample: Heavy Hex Nuts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 52-08W0001L
Structure name: SB Cottonwood Scales
The fabricator/manufacturer/facility name: Metal Works

Material Information

Rocap Number(s):
Heat Number(s): 224045
Nut Mfg. Lot Number(s): 38169-224045
Washer Mfg. Lot Number(s):
Bolt Specification: N/A
Bolt Length(s):
Nut Specification: ASTM A194
Washer Specification: N/A
Finish: HDG
Diameter/Size: 1-1/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2023-08-24-4-1
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: 08/25/2023
Date Tested: 08/25/2023
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: 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
1A171319Proof Load
UTM 400kip
Temperature 72 f

Test 2 of 5

DIME Test ID: 2023-08-24-4-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/25/2023
Date Tested: 08/25/2023
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 38169-224045
Finish Coating ASTM F2329 - Hot Dip
Product Markings U 2HZN
Size 1.25 in
Gage Type Pass

Test 3 of 5

DIME Test ID: 2023-08-24-4-3
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/25/2023
Date Tested: 08/25/2023
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 38169-224045
Finish Coating ASTM F2329 - Hot Dip
Product Markings U 2HZN
Size 1.25 in
Gage Type Pass

Test 4 of 5

DIME Test ID: 2023-08-24-4-4
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: 08/25/2023
Date Tested: 08/25/2023
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 38169-224045
Finish Coating ASTM F2329 - Hot Dip
Product Markings U 2HZN
Size 1.25 in
Bolt Length no data in
Measurement Average 4.27 mils

Test 5 of 5

DIME Test ID: 2023-08-24-4-5
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: 08/25/2023
Date Tested: 08/25/2023
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 38169-224045
Finish Coating ASTM F2329 - Hot Dip
Product Markings U 2HZN
Size 1.25 in
Bolt Length no data in
Measurement Average 5.02 mils