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Sample Record for 2017-06-14-3

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

Project Information

Project ID: 211669 DEA: 022C0904 EFIS: 0200000161 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-50.6/51.7
Work Description: BRIDGE WIDENING AND DECK REPLACEMENT, HMA, MGS AND CULVERT REPLACEMENT
Location Description: PLUMAS COUNTY NEAR QUINCY FROM 0.6 MILE WEST TO 0.5 MILE EAST OF SPRING GARDEN BRIDGE OVERHEAD
Contractor Name: MCM Construction
Contractor Address: 6413 32ND STREET, North Highlands, Ca 95660
Resident Engineer: Ronald Collins Structure Rep.: Jeffrey Rothgery

Sample Information

DIME Sample ID: 2017-06-14-3
TL Number from the TL Form: Unknown
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: 06/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2017
The quantity of what the sample constitutes: 12
A brief description of the sample: 3/4 A563-DH nut
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): n/a
Heat Number(s): 20388020
Nut Mfg. Lot Number(s): 15-40-006
Washer Mfg. Lot Number(s): n/a
Bolt Specification: n/a
Bolt Length(s): n/a
Nut Specification: A563-DH
Washer Specification: n/a
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 12

DIME Test ID: 2017-06-14-3-1
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: 06/28/2017
Date Tested: 06/27/2017
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: Nut 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
3AB76-061-17.7550728225.65Nut Proof LoadBrian
UTM 400KIP
Temperature 71 f

Test 2 of 12

DIME Test ID: 2017-06-14-3-2
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: 06/28/2017
Date Tested: 06/27/2017
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: Nut 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
3BB76-061-17?\"50825226.08Nut Proof LoadBrian
UTM 400KIP
Temperature 71 F

Test 3 of 12

DIME Test ID: 2017-06-14-3-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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. 3A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Gage Type Pass

Test 4 of 12

DIME Test ID: 2017-06-14-3-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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. 3B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Gage Type Pass

Test 5 of 12

DIME Test ID: 2017-06-14-3-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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. 3C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Gage Type Pass

Test 6 of 12

DIME Test ID: 2017-06-14-3-6
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: 06/28/2017
Date Tested: 06/28/2017
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. 3A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Bolt Length no data in
Measurement Average 3.85 mils

Test 7 of 12

DIME Test ID: 2017-06-14-3-7
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: 06/28/2017
Date Tested: 06/28/2017
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. 3B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Bolt Length no data in
Measurement Average 4.49 mils

Test 8 of 12

DIME Test ID: 2017-06-14-3-8
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: 06/28/2017
Date Tested: 06/28/2017
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. 3C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Bolt Length no data in
Measurement Average 3.92 mils

Test 9 of 12

DIME Test ID: 2017-06-14-3-9
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: 06/28/2017
Date Tested: 06/28/2017
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. 3D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Bolt Length no data in
Measurement Average 4.32 mils

Test 10 of 12

DIME Test ID: 2017-06-14-3-10
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: 06/28/2017
Date Tested: 06/28/2017
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. 3E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Bolt Length no data in
Measurement Average 3.55 mils

Test 11 of 12

DIME Test ID: 2017-06-14-3-11
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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. 3D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Gage Type Pass

Test 12 of 12

DIME Test ID: 2017-06-14-3-12
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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. 3E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 15-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC DH
Size .75 in
Gage Type Pass

Tests Assigned to this Sample

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