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Sample Record for 2017-08-23-3

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

Project Information

Project ID: 211393 DEA: 081F1104 EFIS: 0814000160 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-38-38.6-L5759
Work Description: CONSTRUCT A SAND HOUSE AND CHAIN LINK FENCE AT ONYX SUMMIT
Location Description: SAN BERNARDINO COUNTY AT ONYX SUMMIT 0.7 MILES SOUTH OF PIPES ROAD
Contractor Name: BRM
Contractor Address: Unknown
Resident Engineer: Al-Hakem Alina Structure Rep.: Al-Hakem Alina

Sample Information

DIME Sample ID: 2017-08-23-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/23/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2017
The quantity of what the sample constitutes: Lot 3
A brief description of the sample: A325 Fastener Assembly
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jobsite

Material Information

Rocap Number(s): 3
Heat Number(s): Bolt-100883808, Nut-DL16105190, Washer-B42324
Nut Mfg. Lot Number(s): 386212B
Washer Mfg. Lot Number(s): 0217-445
Bolt Specification: A325
Bolt Length(s): 2 1/2
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4
Bolt Mfg. Lot Number: 385621A
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 9

Test Results

Test 1 of 9

DIME Test ID: 2017-08-23-3-1
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: 09/06/2017
Date Tested: 08/30/2017
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: 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
5AL79-034-173/4\"47098209.510A325Brian
UTM 400KIP
Temperature no data

Test 2 of 9

DIME Test ID: 2017-08-23-3-2
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)
Verified Date: 09/06/2017
Date Tested: 08/30/2017
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
5AL79-034-17?\"50630225.21Nut Proof LoadBrian
UTM 400KIP
Temperature 72 F

Test 3 of 9

DIME Test ID: 2017-08-23-3-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 09/06/2017
Date Tested: 08/30/2017
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 385621A
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 U USA
Size .75 in
Bolt Length 2.5 in
Gage Type Pass

Test 4 of 9

DIME Test ID: 2017-08-23-3-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/06/2017
Date Tested: 08/30/2017
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 386212B
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Gage Type Pass

Test 5 of 9

DIME Test ID: 2017-08-23-3-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 09/06/2017
Date Tested: 08/30/2017
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 385621A
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 U USA
Size .75 in
Bolt Length 2.5 in
Gage Type Pass

Test 6 of 9

DIME Test ID: 2017-08-23-3-6
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: 09/06/2017
Date Tested: 08/30/2017
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 385621A
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 U USA
Size .75 in
Bolt Length 2.5 in
Measurement Average 2.81 mils

Test 7 of 9

DIME Test ID: 2017-08-23-3-7
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: 09/06/2017
Date Tested: 08/30/2017
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 386212B
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Bolt Length no data in
Measurement Average 3.47 mils

Test 8 of 9

DIME Test ID: 2017-08-23-3-8
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: 09/06/2017
Date Tested: 08/30/2017
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0217-445
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .75 in
Bolt Length no data in
Measurement Average 2.75 mils

Test 9 of 9

DIME Test ID: 2017-08-23-3-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/06/2017
Date Tested: 08/30/2017
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0217-445
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.4
Spacing Ok