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Sample Record for 2018-08-15-1

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

Project Information

Project ID: 210785 DEA: 07255104 EFIS: 0700000465 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60-R23.8/R24.5
Work Description: CONSTRUCT WESTBOUND ONRAMP AND CONCRETE PAVEMENT
Location Description: LA COUNTY, IN DIMOND BAR ANDINDUSTRY AT GRAND AVENUE/SR 57/60 IC
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Martin Sandoval Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-08-15-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2018
The quantity of what the sample constitutes: 1
A brief description of the sample: Fastener
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ulmer Industries

Material Information

Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): 397825A
Washer Mfg. Lot Number(s):
Bolt Specification: F1554 Gr. 105
Bolt Length(s): 2'
Nut Specification: A563
Washer Specification: F436
Finish:
Diameter/Size: 5/8
Bolt Mfg. Lot Number: M21826
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 8

DIME Test ID: 2018-08-15-1-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/28/2018
Date Tested: 08/23/2018
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) M21826
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings RED AINT
Size .625 in
Bolt Length 24 in
Gage Type Pass

Test 2 of 8

DIME Test ID: 2018-08-15-1-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/28/2018
Date Tested: 08/23/2018
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 397825A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .625 in
Gage Type Pass

Test 3 of 8

DIME Test ID: 2018-08-15-1-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/28/2018
Date Tested: 08/23/2018
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 397825A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .625 in
Gage Type Pass

Test 4 of 8

DIME Test ID: 2018-08-15-1-4
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: 08/28/2018
Date Tested: 08/23/2018
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) M21826
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings RED AINT
Size .625 in
Bolt Length 24 in
Measurement Average 6.28 mils

Test 5 of 8

DIME Test ID: 2018-08-15-1-5
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: 08/28/2018
Date Tested: 08/23/2018
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 397825A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .625 in
Bolt Length no data in
Measurement Average 3.83 mils

Test 6 of 8

DIME Test ID: 2018-08-15-1-6
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: 08/28/2018
Date Tested: 08/23/2018
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 397825A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .625 in
Bolt Length no data in
Measurement Average 4.45 mils

Test 7 of 8

DIME Test ID: 2018-08-15-1-7
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: 08/28/2018
Date Tested: 08/22/2018
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: F1554 Gr 105 All Thread
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
1AF1554 Gr 105 All Thread0.2263120613813808012335127877F1554 Gr 105 All Thread
UTM 400KIP
Temperature 72

Test 8 of 8

DIME Test ID: 2018-08-15-1-8
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: 08/28/2018
Date Tested: 08/22/2018
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: 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
1B397825A5/8\"34619153.99Nut Proof LoadBrian
UTM 400KIP
Temperature 72 F

Tests Assigned to this Sample

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