Sample Record for 2024-06-27-86
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994537 DEA: 010L1604 EFIS: 0121000077
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1,101-Var
Work Description: POLYESTER CONCRETE OVERLAY, RAPID SETTING CONCRETE (PATCH), HMA.
Location Description: MENDOCINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: TPA CONSTRUCTION INC.
Contractor Address: 1770 Booth Road, Roseville, CA 95747
Resident Engineer: Roozbeh Hadipour Structure Rep.: Will Cudney
Sample Information
DIME Sample ID: 2024-06-27-86
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/23/2024
The quantity of what the sample constitutes: 1
A brief description of the sample: fastener Assembly
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Job Site
Material Information
Rocap Number(s):
Heat Number(s): MV900, J12207172, 20011212
Nut Mfg. Lot Number(s): 5191480004
Washer Mfg. Lot Number(s): HJ412467798
Bolt Specification: A325
Bolt Length(s): 2
Nut Specification: A194
Washer Specification: F436
Finish: HDG
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: B2381719G1
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
Test 1 of 8
DIME Test ID: 2024-06-27-86-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/07/2024
Date Tested: 08/06/2024
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
|
B2381719G1
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A325 JH
|
|
Size
|
0.875 in
|
|
Bolt Length
|
2 in
|
|
Gage Type
|
Pass
|
Test 2 of 8
DIME Test ID: 2024-06-27-86-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/07/2024
Date Tested: 08/06/2024
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
|
5191480004
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
2HZN LM
|
|
Size
|
0.875 in
|
|
Gage Type
|
Pass
|
Test 3 of 8
DIME Test ID: 2024-06-27-86-3
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: 08/07/2024
Date Tested: 08/06/2024
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
|
B2381719G1
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A325 JH
|
|
Size
|
0.875 in
|
|
Bolt Length
|
2 in
|
|
Measurement Average
|
2.38 mils
|
Test 4 of 8
DIME Test ID: 2024-06-27-86-4
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: 08/07/2024
Date Tested: 08/06/2024
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
|
5191480004
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
2HZN LM
|
|
Size
|
0.875 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
2.72 mils
|
Test 5 of 8
DIME Test ID: 2024-06-27-86-5
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: 08/07/2024
Date Tested: 08/06/2024
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
|
HJ412467798
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
F436 HJ
|
|
Size
|
0.875 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
2.14 mils
|
Test 6 of 8
DIME Test ID: 2024-06-27-86-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 08/07/2024
Date Tested: 08/06/2024
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
|
B2381719G1
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A325 JH
|
|
Size
|
0.875 in
|
|
Bolt Length
|
2 in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
28.5
|
|
Spacing
|
Ok
|
Test 7 of 8
DIME Test ID: 2024-06-27-86-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 08/07/2024
Date Tested: 08/06/2024
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
|
5191480004
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
2HZN LM
|
|
Size
|
0.875 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
30.87
|
|
Spacing
|
Ok
|
Test 8 of 8
DIME Test ID: 2024-06-27-86-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 08/07/2024
Date Tested: 08/06/2024
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
|
HJ412467798
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
F436 HJ
|
|
Size
|
0.875 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
31.95
|
|
Spacing
|
Ok
|
