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Sample Record for 2018-04-19-2

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

Project Information

Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-680-M2.4/M12.4
Work Description: ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location Description: FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Yannaing Tun Structure Rep.: Jordan Jarosz

Sample Information

DIME Sample ID: 2018-04-19-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 04/19/2018
Date that the sample was received by the laboratory/organization performing the testing: 04/20/2018
The quantity of what the sample constitutes: 1
A brief description of the sample: 2 1/4 F1554 Gr.55 anchor bolt
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): n/a
Heat Number(s): PL17209390
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): n/a
Bolt Specification: F1554 Gr.55
Bolt Length(s): 3'-6"
Nut Specification: n/a
Washer Specification: n/a
Finish: HDG
Diameter/Size: 2 1/4" x 3'-6"
Bolt Mfg. Lot Number: UIS/Nucor PL1720939001
Rocap Test Requirement(s): none
Lubricant Requirements(s): none

Test Results

Test 1 of 4

DIME Test ID: 2018-04-19-2-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/23/2018
Date Tested: 04/23/2018
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
1PL172093900.4940.192604788437026.9Brian
UTM 67KIP
Temperature 72 f

Test 2 of 4

DIME Test ID: 2018-04-19-2-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/23/2018
Date Tested: 04/23/2018
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
2PL172093900.4970.194609418441029.4Brian
UTM 67KIP
Temperature 72 f

Test 3 of 4

DIME Test ID: 2018-04-19-2-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/23/2018
Date Tested: 04/23/2018
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) PL17209390
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.25 in
Bolt Length 42 in
Gage Type Pass

Test 4 of 4

DIME Test ID: 2018-04-19-2-4
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: 04/23/2018
Date Tested: 04/23/2018
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) PL17209390
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.25 in
Bolt Length 42 in
Measurement Average 6.85 mils