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Sample Record for 2017-07-06-3

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

Project Information

Project ID: 3807 DEA: 07121844 EFIS: 0700000117 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-42.8/47.3
Work Description: CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: James Shih Structure Rep.: Matthew Remo

Sample Information

DIME Sample ID: 2017-07-06-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/06/2017
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2017
The quantity of what the sample constitutes: 230
A brief description of the sample: A325 HDG Rocap Assembiy
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: St Louis Screw Bolt

Material Information

Rocap Number(s): TT0086197
Heat Number(s): 20372930
Nut Mfg. Lot Number(s): 24877
Washer Mfg. Lot Number(s): D3436
Bolt Specification: A325
Bolt Length(s): 3-1/2
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: BM0352
Rocap Test Requirement(s):
Lubricant Requirements(s): YES

Test Results

Test 1 of 7

DIME Test ID: 2017-07-06-3-1
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 with Wedge)
Verified Date: 07/12/2017
Date Tested: 07/11/2017
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: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
2AL02-052-177/8\"65592291.810A325Brian
UTM 400KIP
Temperature no data

Test 2 of 7

DIME Test ID: 2017-07-06-3-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 07/12/2017
Date Tested: 07/11/2017
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. 2A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BM0352
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL USA
Size .875 in
Bolt Length 3.50 in
Gage Type Pass

Test 3 of 7

DIME Test ID: 2017-07-06-3-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 07/12/2017
Date Tested: 07/11/2017
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. 2B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BM0352
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL USA
Size .875 in
Bolt Length 3.50 in
Gage Type Pass

Test 4 of 7

DIME Test ID: 2017-07-06-3-6
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 07/12/2017
Date Tested: 07/11/2017
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. 2C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BM0352
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL USA
Size .875 in
Bolt Length 3.50 in
Gage Type Pass

Test 5 of 7

DIME Test ID: 2017-07-06-3-7
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: 07/12/2017
Date Tested: 07/11/2017
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. 2A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BM0352
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL USA
Size .875 in
Bolt Length 3.50 in
Measurement Average 4.41 mils

Test 6 of 7

DIME Test ID: 2017-07-06-3-8
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: 07/12/2017
Date Tested: 07/11/2017
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. 2B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BM0352
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL USA
Size .875 in
Bolt Length 3.50 in
Measurement Average 2.29 mils

Test 7 of 7

DIME Test ID: 2017-07-06-3-9
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: 07/12/2017
Date Tested: 07/11/2017
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. 2C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number BM0352
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL USA
Size .875 in
Bolt Length 3.50 in
Measurement Average 3.39 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2017-07-06-3-2ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)07/11/201707/11/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor
2017-07-06-3-3ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)07/11/201707/11/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor