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Sample Record for 2017-01-20-2

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

Project Information

Project ID: 210097 DEA: 100L9704 EFIS: 1012000053 QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO-120-R19.5/R20.0
Work Description: REPLACE DECK AND RETROFIT BRIDGE.
Location Description: IN TUOLUMNE COUNTY ON STATE ROUTE 120 FROM 7.6 MILES EAST OF YOSEMITEJUNCTION TO 4.8 MILES WEST OF THE TOWN OF MOCCASIN AT TUOLUMNE RIVER/DON PEDRO RESERVOIR (JAMES E.
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Corey Casey Structure Rep.: Ehab Wahed

Sample Information

DIME Sample ID: 2017-01-20-2
TL Number from the TL Form: Unknown
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: 01/20/2017
Date that the sample was received by the laboratory/organization performing the testing: 01/24/2017
The quantity of what the sample constitutes: 18
A brief description of the sample: Rocap Assembly
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Midwest Structural Products

Material Information

Rocap Number(s): R26659-01, R26659-02B, R26659-03, R26659-04
Heat Number(s): 351174A, 373295A, 373301A, 358143A
Nut Mfg. Lot Number(s): 373413A
Washer Mfg. Lot Number(s): C7335M
Bolt Specification: ASTM A325
Bolt Length(s): 9.5", 9.0", 7.5", 6.5"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: ASTM B695 - Mech Galv
Diameter/Size: 1"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 21

DIME Test ID: 2017-01-20-2-1
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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 R26659-01
Heat Number(s) no data
Mfg. Lot Number C7335M
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 2.84 mils

Test 2 of 21

DIME Test ID: 2017-01-20-2-2
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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 R26659-01
Heat Number(s) no data
Mfg. Lot Number 351174A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 9.5 in
Measurement Average 3.54 mils

Test 3 of 21

DIME Test ID: 2017-01-20-2-3
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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 R26659-01
Heat Number(s) no data
Mfg. Lot Number 373413A
Finish Coating ASTM B695 - Mech Galv
Product Markings DH N
Size 1 in
Bolt Length no data in
Measurement Average 4.74 mils

Test 4 of 21

DIME Test ID: 2017-01-20-2-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: complies
Additional Comments When Verified:
Sample No. 1A
Rocap Number R26659-01
Heat Number(s) no data
Mfg. Lot Number C7335M
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.65
Spacing Ok

Test 5 of 21

DIME Test ID: 2017-01-20-2-7
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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. 2A
Rocap Number R26659-02B
Heat Number(s) no data
Mfg. Lot Number 373413A
Finish Coating ASTM B695 - Mech Galv
Product Markings DH N
Size 1 in
Bolt Length no data in
Measurement Average 3.44 mils

Test 6 of 21

DIME Test ID: 2017-01-20-2-8
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: complies
Additional Comments When Verified:
Sample No. 2A
Rocap Number R26659-02B
Heat Number(s) no data
Mfg. Lot Number C7335M
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 3.93 mils

Test 7 of 21

DIME Test ID: 2017-01-20-2-9
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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. 2A
Rocap Number R26659-02B
Heat Number(s) no data
Mfg. Lot Number 373295A
Finish Coating ASTM B695 - Mech Galv
Product Markings K-T A325
Size 1 in
Bolt Length 9 in
Measurement Average 2.53 mils

Test 8 of 21

DIME Test ID: 2017-01-20-2-12
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: complies
Additional Comments When Verified:
Sample No. 2A
Rocap Number R26659-02B
Heat Number(s) no data
Mfg. Lot Number C7335M
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.6
Spacing Ok

Test 9 of 21

DIME Test ID: 2017-01-20-2-13
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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. 3A
Rocap Number R26659-03
Heat Number(s) no data
Mfg. Lot Number 373413A
Finish Coating ASTM B695 - Mech Galv
Product Markings DH N
Size 1 in
Bolt Length no data in
Measurement Average 4.54 mils

Test 10 of 21

DIME Test ID: 2017-01-20-2-14
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: complies
Additional Comments When Verified:
Sample No. 3A
Rocap Number R26659-03
Heat Number(s) no data
Mfg. Lot Number 373301A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 7.5 in
Measurement Average 3.26 mils

Test 11 of 21

DIME Test ID: 2017-01-20-2-15
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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. 3A
Rocap Number R26659-03
Heat Number(s) no data
Mfg. Lot Number C7335M
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 3.27 mils

Test 12 of 21

DIME Test ID: 2017-01-20-2-18
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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. 4A
Rocap Number R26659-04
Heat Number(s) no data
Mfg. Lot Number 358143A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 6.5 in
Measurement Average 3.15 mils

Test 13 of 21

DIME Test ID: 2017-01-20-2-25
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1AN/A1\"93975418.02Arnold
UTM 400KIP
Temperature 72 F

Test 14 of 21

DIME Test ID: 2017-01-20-2-26
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1AN/A184093374.1A325Arnold
UTM 400KIP
Temperature 72 F

Test 15 of 21

DIME Test ID: 2017-01-20-2-27
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
2AN/A190090400.7A325Arnold
UTM 400KIP
Temperature 72 F

Test 16 of 21

DIME Test ID: 2017-01-20-2-28
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
3AN/A198030436.1A325Arnold
UTM 400KIP
Temperature 72 F

Test 17 of 21

DIME Test ID: 2017-01-20-2-29
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 02/01/2017
Date Tested: 01/25/2017
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: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
4AN/A192044409.4A325Arnold
UTM 400KIP
Temperature 72 F

Test 18 of 21

DIME Test ID: 2017-01-20-2-30
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/01/2017
Date Tested: 02/01/2017
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 R26659-01
Heat Number(s) no data
Mfg. Lot Number 351174A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 9.5 in
Gage Type Pass

Test 19 of 21

DIME Test ID: 2017-01-20-2-31
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/01/2017
Date Tested: 02/01/2017
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. 2A
Rocap Number R26659-02B
Heat Number(s) no data
Mfg. Lot Number 373295A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 9 in
Gage Type Pass

Test 20 of 21

DIME Test ID: 2017-01-20-2-32
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/01/2017
Date Tested: 02/01/2017
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. 3A
Rocap Number R26659-03
Heat Number(s) no data
Mfg. Lot Number 373301A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 7.5 in
Gage Type Pass

Test 21 of 21

DIME Test ID: 2017-01-20-2-33
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/01/2017
Date Tested: 02/01/2017
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. 4A
Rocap Number R26659-04
Heat Number(s) no data
Mfg. Lot Number 358143A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 6.5 in
Gage Type Pass