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Sample Record for 2023-10-17-46

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Project Information

Project ID: 215620 DEA: 01436404 EFIS: 0100000193 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2023-10-17-46
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: 10/17/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/26/2023
The quantity of what the sample constitutes: 102
A brief description of the sample: Extra washers for AB549A bolts
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Acrow

Material Information

Rocap Number(s):
Heat Number(s): NA
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): WASHERS
Bolt Specification: NA
Bolt Length(s): NA
Nut Specification: NA
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size:
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): No
Lubricant Requirements(s): Yes
Washer Inner Diameter(s):
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-10-17-46-1
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: 11/02/2023
Date Tested: 10/30/2023
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 AB549A
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size 1 in
Bolt Length no data in
Measurement Average 4.23 mils

Test 2 of 4

DIME Test ID: 2023-10-17-46-2
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: 11/02/2023
Date Tested: 10/30/2023
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 AB549A
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size 1 in
Bolt Length no data in
Measurement Average 2.22 mils

Test 3 of 4

DIME Test ID: 2023-10-17-46-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/02/2023
Date Tested: 10/30/2023
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 AB549A
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 27.1
Spacing Ok

Test 4 of 4

DIME Test ID: 2023-10-17-46-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/02/2023
Date Tested: 10/30/2023
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 AB549A
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 26.9
Spacing Ok