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Sample Record for 2023-10-30-3

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Project Information

Project ID: 994809 DEA: 120R9204 EFIS: 1219000054 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-90-5.1/6.7
Work Description: Modify signal lights, repair sidewalk, stripe pavement delineation
Location Description: Brea and Fullerton from 0.1 mile west of State College Blvd. to 0.1 mile east of Kramer Blvd.
Contractor Name: International line Builders, Inc.
Contractor Address: 3955 Temescal Canyon Rd, Corona, CA 92883
Resident Engineer: Elie Najm Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-30-3
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: 10/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2023
The quantity of what the sample constitutes: 5
A brief description of the sample: ASTM F1554 GR 55 Anchor Bolt
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):
Heat Number(s): 1202052357
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554 Grade 55
Bolt Length(s): 48"
Nut Specification: n/a
Washer Specification: n/a
Finish: HDG
Diameter/Size: 2 1/4"
Bolt Mfg. Lot Number: 120205235721
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 4

DIME Test ID: 2023-10-30-3-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/03/2023
Date Tested: 11/03/2023
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
112020523570.5020.198639208794027.1aauvinen
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2023-10-30-3-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/03/2023
Date Tested: 11/03/2023
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
212020523570.5020.198632388789526.8aauvinen
UTM 67kip
Temperature 72 f

Test 3 of 4

DIME Test ID: 2023-10-30-3-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/03/2023
Date Tested: 11/03/2023
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) 1202052357
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 2.25 in
Bolt Length 48 in
Gage Type Pass

Test 4 of 4

DIME Test ID: 2023-10-30-3-4
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: 11/03/2023
Date Tested: 11/03/2023
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) 1202052357
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 2.25 in
Bolt Length 48 in
Measurement Average 5.13 mils