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Sample Record for 2017-05-25-1

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

Project Information

Project ID: 211855 DEA: 081E6504 EFIS: 0814000059 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-60-R0.0/7.5
Work Description: INSTALL DOUBLE LUMINAIRE LIGHTINGS AND UPGRADE EXISTING LIGHTINGS
Location Description: RIVERSIDE COUNTY FROM SAN BERNARDINO COUNTY LINE TO VALLEY WAY UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Miguel Calixto Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-05-25-1
TL Number from the TL Form: C719138
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/25/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/25/2017
The quantity of what the sample constitutes: 1
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO

Material Information

Rocap Number(s): n/a
Heat Number(s): 3047881
Nut Mfg. Lot Number(s): Ameribolt 56286 Dyson 111099
Washer Mfg. Lot Number(s): wrought 266919
Bolt Specification: F1554 Gr.55
Bolt Length(s): Unknown
Nut Specification: A194-2H
Washer Specification: F436
Finish: HDG/Plain
Diameter/Size: 1 3/4" x 4'-6"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s): none
Lubricant Requirements(s):

Test Results

Test 1 of 11

DIME Test ID: 2017-05-25-1-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 06/02/2017
Date Tested: 06/01/2017
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: 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) 3047881
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings Yellow Paint
Size 1.75 in
Bolt Length 54 in
Gage Type Pass

Test 2 of 11

DIME Test ID: 2017-05-25-1-2
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 06/02/2017
Date Tested: 06/01/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Plain
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3047881
Mfg. Lot Number no data
Finish Coating Plain
Product Markings YELLOW PAINT
Size 1.75 in
Bolt Length 54 in
Pitch Diameter 1.6095 in
Pitch Diameter 2nd no data in

Test 3 of 11

DIME Test ID: 2017-05-25-1-3
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: 06/02/2017
Date Tested: 06/01/2017
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: 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) 3047881
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.75 in
Bolt Length 54 in
Measurement Average 4.93 mils

Test 4 of 11

DIME Test ID: 2017-05-25-1-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/02/2017
Date Tested: 06/01/2017
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: 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 56286
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2H/DH AMB
Size 1.75 in
Gage Type Pass

Test 5 of 11

DIME Test ID: 2017-05-25-1-5
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: 06/02/2017
Date Tested: 06/01/2017
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: 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 56286
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2H/DH AMB
Size 1.75 in
Bolt Length no data in
Measurement Average 3.9 mils

Test 6 of 11

DIME Test ID: 2017-05-25-1-6
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: 06/02/2017
Date Tested: 06/01/2017
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: 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 298472
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1.75 in
Bolt Length no data in
Measurement Average 4.54 mils

Test 7 of 11

DIME Test ID: 2017-05-25-1-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/02/2017
Date Tested: 06/01/2017
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: 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 298472
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 34.9
Spacing Ok

Test 8 of 11

DIME Test ID: 2017-05-25-1-8
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 06/02/2017
Date Tested: 06/02/2017
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: 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 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
81A30478810.5030.198578938328029.4Brian
UTM 67KIP
Temperature 72 f

Test 9 of 11

DIME Test ID: 2017-05-25-1-9
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 06/02/2017
Date Tested: 06/02/2017
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: 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 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
81B30478810.5020.198580488278030.5Brian
UTM 67KIP
Temperature 72 f

Test 10 of 11

DIME Test ID: 2017-05-25-1-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/02/2017
Date Tested: 06/01/2017
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: 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 56286
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2H/DH AMB
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 22.02
Spacing Ok

Test 11 of 11

DIME Test ID: 2017-05-25-1-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/02/2017
Date Tested: 06/01/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 DCWL
Finish Coating Plain
Product Markings 2H/DH D/N
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 24.9
Spacing Ok

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.