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Sample Record for 2017-06-14-7

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: 2017-06-14-7
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
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: 9
A brief description of the sample: F436 HDG washer
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): B40065
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): D2656
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: n/a
Washer Specification: F436 HDG
Finish: HDG
Diameter/Size: 1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2017-06-14-7-1
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: 06/28/2017
Date Tested: 06/27/2017
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 7A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D2656
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size no data in
Bolt Length no data in
Measurement Average 4.29 mils

Test 2 of 5

DIME Test ID: 2017-06-14-7-2
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: 06/28/2017
Date Tested: 06/27/2017
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 7B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D2656
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size no data in
Bolt Length no data in
Measurement Average 5.94 mils

Test 3 of 5

DIME Test ID: 2017-06-14-7-3
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: 06/28/2017
Date Tested: 06/27/2017
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 7C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D2656
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size no data in
Bolt Length no data in
Measurement Average 4.19 mils

Test 4 of 5

DIME Test ID: 2017-06-14-7-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 7A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D2656
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.25
Spacing Ok

Test 5 of 5

DIME Test ID: 2017-06-14-7-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/28/2017
Date Tested: 06/28/2017
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 7B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D2656
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.55
Spacing Ok