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Sample Record for 2018-01-09-1

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Project Information

Project ID: 212716 DEA: 101F7904 EFIS: 1016000114 MINOR: 10A1874 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-99-5.8
Work Description: Install Bridge Mounted Sign
Location Description:
Contractor Name: Eagle Rock Industries
Contractor Address: 2977 Ygnacio Valley Road, Walnut Creek, CA 94598
Resident Engineer: Troy Scheiber Structure Rep.: Chua Ha

Sample Information

DIME Sample ID: 2018-01-09-1
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: 01/09/2018
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2018
The quantity of what the sample constitutes: 22
A brief description of the sample: Bridge mount sign hardware
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor

Material Information

Rocap Number(s): 061217A
Heat Number(s): 100786273
Nut Mfg. Lot Number(s): 365483B
Washer Mfg. Lot Number(s): D1287
Bolt Specification: A325
Bolt Length(s): 2-1/2"
Nut Specification: A563
Washer Specification: F436
Finish: Mech Galv
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 387302A
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2018-01-09-1-1
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)
Verified Date: 01/11/2018
Date Tested: 01/11/2018
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
1AN/A?\"50475224.52Nut Proof LoadBrian
UTM 400KIP
Temperature 72 F

Test 2 of 7

DIME Test ID: 2018-01-09-1-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/11/2018
Date Tested: 01/11/2018
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 387302A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 U USA
Size .75 in
Bolt Length 2.5 in
Gage Type Pass

Test 3 of 7

DIME Test ID: 2018-01-09-1-3
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: 01/11/2018
Date Tested: 01/11/2018
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 387302A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 U USA
Size .75 in
Bolt Length 2.5 in
Measurement Average 3.68 mils

Test 4 of 7

DIME Test ID: 2018-01-09-1-4
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: 01/11/2018
Date Tested: 01/11/2018
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 3654838
Finish Coating ASTM B695 - Mech Galv
Product Markings DH N
Size .75 in
Bolt Length no data in
Measurement Average 3.6 mils

Test 5 of 7

DIME Test ID: 2018-01-09-1-5
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: 01/11/2018
Date Tested: 01/11/2018
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 D1287
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 3.03 mils

Test 6 of 7

DIME Test ID: 2018-01-09-1-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/11/2018
Date Tested: 01/11/2018
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 387302A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 U USA
Size .75 in
Bolt Length 2.5 in
Hardness Reading Scale C Scale
Hardness Reading Average 26.35
Spacing Ok

Test 7 of 7

DIME Test ID: 2018-01-09-1-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/11/2018
Date Tested: 01/11/2018
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 D1287
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.25
Spacing Ok