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Sample Record for 2024-04-09-1

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

Project Information

Project ID: 994737 DEA: 081M1704 EFIS: 0821000086 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15,71,91,215-Var
Work Description: STRUCTURAL CONCRETE AND POLYESTER CONCRETE OVERLAY.
Location Description: RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Avenue, Sacramento, CA 95838
Resident Engineer: Mahfual Alam Structure Rep.: Anton Schmieder

Sample Information

DIME Sample ID: 2024-04-09-1
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: 04/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2024
The quantity of what the sample constitutes: 15 Bolt Assemblies
A brief description of the sample: 2 pcs 3/4"x3" A325 Bolt Assemblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: St. Louis Screw & Bolt

Material Information

Rocap Number(s): V072059
Heat Number(s): 10858270 Bolt 5805575204 Nut 32320750 Washer
Nut Mfg. Lot Number(s): 38614-5805575204
Washer Mfg. Lot Number(s): 0623-771
Bolt Specification: ASTM A325-1
Bolt Length(s): 3"
Nut Specification: ASTM A563-DH
Washer Specification: ASTM F436-1
Finish: Plain
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 050513
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):

Test Results

Test 1 of 5

DIME Test ID: 2024-04-09-1-1
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: 04/19/2024
Date Tested: 04/17/2024
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
1A63966Proof Load
UTM 450kip
Temperature 72 f

Test 2 of 5

DIME Test ID: 2024-04-09-1-2
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 with Wedge)
Verified Date: 04/19/2024
Date Tested: 04/17/2024
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: Wedge Tensile
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1A0505130.750047856212.8710.00Wedge Tensileaauvinen
UTM 450kip
Temperature no data

Test 3 of 5

DIME Test ID: 2024-04-09-1-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/19/2024
Date Tested: 04/18/2024
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 650513
Finish Coating Plain
Product Markings A325 SL USA
Size 0.75 in
Bolt Length 3 in
Gage Type Pass

Test 4 of 5

DIME Test ID: 2024-04-09-1-6
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 04/19/2024
Date Tested: 04/18/2024
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 38614-5805575204
Finish Coating Plain
Product Markings DH U
Size 0.75 in
Gage Type Pass

Test 5 of 5

DIME Test ID: 2024-04-09-1-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/19/2024
Date Tested: 04/18/2024
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 0623-771
Finish Coating Plain
Product Markings TSI F436
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.6
Spacing Ok