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Sample Record for 2018-10-23-3

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

Project Information

Project ID: 211775 DEA: 024E6504 EFIS: 0212000012 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-R52.5/88.4
Work Description: WIDEN BRIDGES,POLYESTER CONC OVERLAY,COLD PLANE AC PVMT,HMA,GUARDRAIL
Location Description: SISKIYOU COUNTY NEAR SEIAD VALLEY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF THOMPSON CREEK BRIDGE TO 0.2 MILE EAST OF BEAVER CREEK BRIDGE
Contractor Name: J.F. Shea Construction, Inc
Contractor Address: 17400 Clearcreek Road, Redding, CA 96001
Resident Engineer: Mark Loader Structure Rep.: Robert Thompson

Sample Information

DIME Sample ID: 2018-10-23-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/23/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/26/2018
The quantity of what the sample constitutes: 5
A brief description of the sample: 3/4" x 69" Anchor Rods
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CK Johnson

Material Information

Rocap Number(s): N/A
Heat Number(s): 278617
Nut Mfg. Lot Number(s): 18-40-013
Washer Mfg. Lot Number(s): 0418-832
Bolt Specification: F1554 GR36
Bolt Length(s): 69
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): No
Lubricant Requirements(s): No Dye

Test Results

Test 1 of 9

DIME Test ID: 2018-10-23-3-1
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: 10/30/2018
Date Tested: 10/29/2018
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
1A18-40-013?-10 Gr-A Hex31408139.71Nut Proof LoadFred
UTM 400KIP
Temperature 72 F

Test 2 of 9

DIME Test ID: 2018-10-23-3-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/30/2018
Date Tested: 10/29/2018
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
12786170.5030.199522717815032.3Fred
UTM 67KIP
Temperature 72 f

Test 3 of 9

DIME Test ID: 2018-10-23-3-3
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/30/2018
Date Tested: 10/29/2018
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
22786170.4920.19541007808031.8Fred
UTM 67KIP
Temperature 72 f

Test 4 of 9

DIME Test ID: 2018-10-23-3-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/30/2018
Date Tested: 10/30/2018
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) 278617
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .750 in
Bolt Length 69 in
Gage Type Pass

Test 5 of 9

DIME Test ID: 2018-10-23-3-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/30/2018
Date Tested: 10/30/2018
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 18-40-013
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC
Size .750 in
Gage Type Pass

Test 6 of 9

DIME Test ID: 2018-10-23-3-6
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: 10/30/2018
Date Tested: 10/30/2018
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) 278617
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .750 in
Bolt Length 69 in
Measurement Average 4.07 mils

Test 7 of 9

DIME Test ID: 2018-10-23-3-7
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: 10/30/2018
Date Tested: 10/30/2018
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 18-40-013
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC
Size .750 in
Bolt Length no data in
Measurement Average 3.25 mils

Test 8 of 9

DIME Test ID: 2018-10-23-3-8
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: 10/30/2018
Date Tested: 10/30/2018
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 0418-832
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .750 in
Bolt Length no data in
Measurement Average 4.71 mils

Test 9 of 9

DIME Test ID: 2018-10-23-3-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/30/2018
Date Tested: 10/30/2018
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 0418-832
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .750 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.55
Spacing Ok