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Sample Record for 2017-06-16-1

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-06-16-1
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: 06/16/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2017
The quantity of what the sample constitutes: 10
A brief description of the sample: 2 1/2 F844 flat 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): 179089
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 302147
Bolt Specification: n/a
Bolt Length(s): Unknown
Nut Specification: n/a
Washer Specification: F844
Finish: HDG
Diameter/Size: 2 1/2"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s): none
Lubricant Requirements(s):
Test results on following page(s): 10

Test Results

Test 1 of 10

DIME Test ID: 2017-06-16-1-1
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: 07/06/2017
Date Tested: 06/30/2017
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 no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.18 mils

Test 2 of 10

DIME Test ID: 2017-06-16-1-2
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: 07/06/2017
Date Tested: 06/30/2017
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.85 mils

Test 3 of 10

DIME Test ID: 2017-06-16-1-3
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: 07/06/2017
Date Tested: 06/30/2017
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.76 mils

Test 4 of 10

DIME Test ID: 2017-06-16-1-4
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: 07/06/2017
Date Tested: 06/30/2017
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 3.03 mils

Test 5 of 10

DIME Test ID: 2017-06-16-1-5
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: 07/06/2017
Date Tested: 06/30/2017
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.13 mils

Test 6 of 10

DIME Test ID: 2017-06-16-1-6
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: 07/06/2017
Date Tested: 06/30/2017
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. 1F
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.39 mils

Test 7 of 10

DIME Test ID: 2017-06-16-1-7
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: 07/06/2017
Date Tested: 06/30/2017
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. 1G
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.53 mils

Test 8 of 10

DIME Test ID: 2017-06-16-1-8
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: 07/06/2017
Date Tested: 06/30/2017
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. 1H
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.08 mils

Test 9 of 10

DIME Test ID: 2017-06-16-1-9
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: 07/06/2017
Date Tested: 06/30/2017
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. 1I
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.13 mils

Test 10 of 10

DIME Test ID: 2017-06-16-1-10
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: 07/06/2017
Date Tested: 06/30/2017
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. 1J
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 302147
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size no data in
Bolt Length no data in
Measurement Average 2.56 mils