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Sample Record for 2017-12-14-6

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

Project Information

Project ID: 210569 DEA: 083555V4 EFIS: 0814000086 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-42.5/46.0
Work Description: WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
Contractor Name: Ames Construction
Contractor Address: 2000 AMES DRIVE, BURNSVILLE, MN 55306
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2017-12-14-6
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2017
The quantity of what the sample constitutes: 1 lot of 24
A brief description of the sample: Anchor Bolt Assembly
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO Fasteners

Material Information

Rocap Number(s):
Heat Number(s): 171612, A164718, 3068113
Nut Mfg. Lot Number(s): W3217
Washer Mfg. Lot Number(s): 305406
Bolt Specification: F1554 Gr 55
Bolt Length(s): 4'-5"
Nut Specification: A194 Gr 2H
Washer Specification: F436
Finish: HDG
Diameter/Size: 1.75
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 11

DIME Test ID: 2017-12-14-6-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
230681130.5010.197614908850027.7Brian
UTM 67KIP
Temperature 72 f

Test 2 of 11

DIME Test ID: 2017-12-14-6-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
130681130.50.196625678865027.8Brian
UTM 67KIP
Temperature 72 f

Test 3 of 11

DIME Test ID: 2017-12-14-6-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) 3068113
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.75 in
Bolt Length 53 in
Gage Type Pass

Test 4 of 11

DIME Test ID: 2017-12-14-6-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W3217
Finish Coating Plain and A153 and F2329
Product Markings LSF 2H/DH
Size 1.75 in
Gage Type Pass

Test 5 of 11

DIME Test ID: 2017-12-14-6-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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 DDAB
Finish Coating Plain
Product Markings D/N 2HDH
Size 1.75 in
Gage Type Pass

Test 6 of 11

DIME Test ID: 2017-12-14-6-6
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: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) 3068113
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.75 in
Bolt Length 53 in
Measurement Average 4.09 mils

Test 7 of 11

DIME Test ID: 2017-12-14-6-7
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: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W3217
Finish Coating Plain and A153 and F2329
Product Markings LSF 2H/DH
Size 1.75 in
Bolt Length no data in
Measurement Average 4.5 mils

Test 8 of 11

DIME Test ID: 2017-12-14-6-8
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: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 305406
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1.75 in
Bolt Length no data in
Measurement Average 3 mils

Test 9 of 11

DIME Test ID: 2017-12-14-6-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W3217
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.82
Spacing Ok

Test 10 of 11

DIME Test ID: 2017-12-14-6-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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 DDAB
Finish Coating Plain
Product Markings D/N 2HDH
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.27
Spacing Ok

Test 11 of 11

DIME Test ID: 2017-12-14-6-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2017
Date Tested: 12/21/2017
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 305406
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 34
Spacing Ok

Tests Assigned to this Sample

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