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Sample Record for 2017-04-13-6

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Project Information

Project ID: 212152 EFIS: 0000001155 Permit Numbers: 11166SI0579 QA Service Level: 1
DIST-CO-RTE-PM: 11--78-12.9/12.9
Work Description: enter upon State Highway right of way in San Diego County, City of San Marcos, on Route 78, at post mile12.91, to place temporary traffic control to relocate an existing overhead sign and to install traffic signal outside Caltrans right of way, as shown on the attached plans, in accordance with the
Location Description: ROUTE 78, SAN MARCOS
Contractor Name: HMS Construction, Inc.
Contractor Address: 2885 Scott Street, Vista, CA 92065
Resident Engineer: Ralph Yanzon Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-04-13-6
TL Number from the TL Form: C953703
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 04/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/17/2017
The quantity of what the sample constitutes: 3
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s): 511914
Nut Mfg. Lot Number(s): DDTB
Washer Mfg. Lot Number(s): 9962G
Bolt Specification: F1554 G55 HDG
Bolt Length(s): 32
Nut Specification: A194/A563 HDG
Washer Specification: F436 HDG
Finish: F2329/A153
Diameter/Size: 2.5
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 6

DIME Test ID: 2017-04-13-6-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/19/2017
Date Tested: 04/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 2
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
5119140.5010.1971636908388028.1Brian
5119140.5040.1995626818410028.5Brian
UTM 67KIP
Temperature 72 F

Test 2 of 6

DIME Test ID: 2017-04-13-6-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 04/19/2017
Date Tested: 04/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 DDTB
Finish Coating ASTM A153 - Hot Dip
Product Markings 2H DH ND
Size 2.5 in
Gage Type Pass

Test 3 of 6

DIME Test ID: 2017-04-13-6-7
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: 04/19/2017
Date Tested: 04/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 DDTB
Finish Coating ASTM A153 - Hot Dip
Product Markings 2H DH ND
Size 2.5 in
Bolt Length no data in
Measurement Average 7.51 mils

Test 4 of 6

DIME Test ID: 2017-04-13-6-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/19/2017
Date Tested: 04/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 DDTB
Finish Coating ASTM A153 - Hot Dip
Product Markings 2H DH ND
Size 2.5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.95
Spacing Ok

Test 5 of 6

DIME Test ID: 2017-04-13-6-9
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: 04/19/2017
Date Tested: 04/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 99622G
Finish Coating ASTM A153 - Hot Dip
Product Markings B
Size 2.5 in
Bolt Length no data in
Measurement Average 2.6 mils

Test 6 of 6

DIME Test ID: 2017-04-13-6-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/19/2017
Date Tested: 04/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 99622G
Finish Coating ASTM A153 - Hot Dip
Product Markings B
Size 2.5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.9
Spacing Ok

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2017-04-13-6-2ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)04/19/201704/19/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryBrian Ewing
2017-04-13-6-3ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)04/19/201704/18/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryArnold Viken
2017-04-13-6-4ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)04/19/201704/18/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryArnold Viken
2017-04-13-6-5ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)04/19/201704/18/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryArnold Viken