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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: (530) 329-6527
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 on following page(s): 8

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: 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 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: 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 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: 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 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: 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 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: 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 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: 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 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: 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 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: 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 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