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Sample Record for 2017-10-18-5

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

Project Information

Project ID: 212756 DEA: 65A0617 QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Type 15 FBS , ST-75 Bridge Rail, Type 85 Concrete Bridge Rail
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-10-18-5
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: 10/18/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/24/2017
The quantity of what the sample constitutes: 24
A brief description of the sample: F1554 anchor rods
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: NA
Bolt Length(s):
Nut Specification: A325-DH
Washer Specification: NA
Finish:
Diameter/Size:
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2017-10-18-5-1
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 10/27/2017
Date Tested: 10/26/2017
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: F 1554 Gr 105
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeArea (in^2)Peak Load (lbf)Peak Load (kN)Tensile Strength (psi)Stress at Offset (psi)Load at Offset (lbf)Comments
1A3/4\"0.3344911221814704213534445205F 1554 Gr 105
UTM 400KIP
Temperature 72

Test 2 of 3

DIME Test ID: 2017-10-18-5-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/27/2017
Date Tested: 10/26/2017
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) 10434750
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings LSF 105
Size .75 in
Bolt Length 11 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2017-10-18-5-3
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: 10/27/2017
Date Tested: 10/26/2017
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) 10434750
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings LSF 105
Size .75 in
Bolt Length 11 in
Measurement Average 2.73 mils