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Sample Record for 2023-11-07-1

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

Project Information

Project ID: 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: 2023-11-07-1
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: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2023
The quantity of what the sample constitutes: 624
A brief description of the sample: AB051 Panel Pin
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Acrow Bridge

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): AB051
Washer Mfg. Lot Number(s): AB051
Bolt Specification: TBD (50 ksi)
Bolt Length(s):
Nut Specification: N/A
Washer Specification: N/A
Finish:
Diameter/Size:
Bolt Mfg. Lot Number: AB051
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: 2023-11-07-1-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/28/2023
Date Tested: 11/22/2023
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
1AB0510.5080.20311948714053319.5aauvinen
UTM 67kip
Temperature 72 f

Test 2 of 5

DIME Test ID: 2023-11-07-1-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/28/2023
Date Tested: 11/22/2023
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
2AB0510.5060.20111273213448021.9aauvinen
UTM 67kip
Temperature 72 f

Test 3 of 5

DIME Test ID: 2023-11-07-1-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/28/2023
Date Tested: 11/28/2023
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 AB051
Finish Coating Plain
Product Markings B7U
Size 1.875 in
Bolt Length 8 in
Hardness Reading Scale C Scale
Hardness Reading Average 30.55
Spacing Ok

Test 4 of 5

DIME Test ID: 2023-11-07-1-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/28/2023
Date Tested: 11/28/2023
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 AB051
Finish Coating Plain
Product Markings B7U
Size 1.875 in
Bolt Length 8 in
Hardness Reading Scale C Scale
Hardness Reading Average 30.65
Spacing Ok

Test 5 of 5

DIME Test ID: 2023-11-07-1-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/28/2023
Date Tested: 11/28/2023
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number AB051
Finish Coating Plain
Product Markings B7U
Size 1.875 in
Bolt Length 8 in
Hardness Reading Scale C Scale
Hardness Reading Average 30.27
Spacing Ok