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Sample Record for 2023-12-01-4

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

Project Information

Project ID: 994733 DEA: 043Q5704 EFIS: 0419000225 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF,-101,280-VAR
Work Description: STRENGTHEN GIRDER, CLEAN AND PAINT STRUCTURAL STEEL, & REPAIR DECK.
Location Description: THE CITY AND COUNTY OF SAN FRANCISCO AT VARIOUS LOCATIONS
Contractor Name: DISNEY CONSTRUCTION, INC.
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Marcus Washington Structure Rep.: Shahram Monem

Sample Information

DIME Sample ID: 2023-12-01-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/07/2023
The quantity of what the sample constitutes: 2166
A brief description of the sample: 1-8 A563 GRADE DH HOT DIP GALV
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C & K Johnson, Inc.

Material Information

Rocap Number(s):
Heat Number(s): 227270
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): E4194
Bolt Specification: NA
Bolt Length(s):
Nut Specification: NA
Washer Specification: F436
Finish: HDG
Diameter/Size: 1
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2023-12-01-4-1
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: 12/19/2023
Date Tested: 12/13/2023
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 E4194
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size 1 in
Bolt Length no data in
Measurement Average 2.77 mils

Test 2 of 6

DIME Test ID: 2023-12-01-4-2
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: 12/19/2023
Date Tested: 12/13/2023
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 E4194
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size 1 in
Bolt Length no data in
Measurement Average 2.43 mils

Test 3 of 6

DIME Test ID: 2023-12-01-4-4
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: 12/19/2023
Date Tested: 12/13/2023
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 E4194
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size 1 in
Bolt Length no data in
Measurement Average 2.91 mils

Test 4 of 6

DIME Test ID: 2023-12-01-4-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/19/2023
Date Tested: 12/15/2023
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 E4194
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.25
Spacing Ok

Test 5 of 6

DIME Test ID: 2023-12-01-4-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/19/2023
Date Tested: 12/15/2023
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 E4194
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40
Spacing Ok

Test 6 of 6

DIME Test ID: 2023-12-01-4-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/19/2023
Date Tested: 12/15/2023
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 E4194
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.45
Spacing Ok