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Sample Record for 2017-06-23-11

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

Project Information

Project ID: 212164 DEA: 051J1304 EFIS: 0517000064 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON,MON-1-45.52, 45.4/45.8
Work Description: Pfeiffer Canyon Emergency Bridge Replacement Project
Location Description: Highway 1 at Pfeiffer State Park
Contractor Name: Golden State Bridge
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Tyler Lavering Structure Rep.: David Galarza

Sample Information

DIME Sample ID: 2017-06-23-11
TL Number from the TL Form: NA
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: 06/23/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/28/2017
The quantity of what the sample constitutes: 5
A brief description of the sample: Extra Thick washers
From where was the sample collected: Manufacturer
Laboratory sample identification: l
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: St Louis Screw Bolt

Material Information

Rocap Number(s): NA
Heat Number(s): 156943
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): D0619
Bolt Specification: NA
Bolt Length(s): NA
Nut Specification: NA
Washer Specification: F436
Finish: HDG
Diameter/Size: Unknown
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): NA

Test Results

Test 1 of 8

DIME Test ID: 2017-06-23-11-1
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: 06/30/2017
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: 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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Measurement Average 6.57 mils

Test 2 of 8

DIME Test ID: 2017-06-23-11-2
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: 06/30/2017
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: 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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Measurement Average 5.78 mils

Test 3 of 8

DIME Test ID: 2017-06-23-11-3
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: 06/30/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Measurement Average 6.34 mils

Test 4 of 8

DIME Test ID: 2017-06-23-11-4
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: 06/30/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Measurement Average 6.22 mils

Test 5 of 8

DIME Test ID: 2017-06-23-11-5
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: 06/30/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Measurement Average 6.19 mils

Test 6 of 8

DIME Test ID: 2017-06-23-11-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/30/2017
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: 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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.6
Spacing no data

Test 7 of 8

DIME Test ID: 2017-06-23-11-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/30/2017
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: 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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.45
Spacing no data

Test 8 of 8

DIME Test ID: 2017-06-23-11-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/30/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 D0619
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.05
Spacing no data

Tests Assigned to this Sample

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