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Sample Record for 2018-11-06-1

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

Project Information

DEA: No Project QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-11-06-1
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: 11/06/2018
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2018
The quantity of what the sample constitutes: 3
A brief description of the sample: 2 1/2" x 5'-0" 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): 1201003615
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): n/a
Bolt Specification: F1554 Gr.55
Bolt Length(s): 5'-0"
Nut Specification: n/a
Washer Specification: n/a
Finish: HDG/plain
Diameter/Size: 2 1/2" x 5'-0"
Bolt Mfg. Lot Number: 120100361520
Rocap Test Requirement(s): none
Lubricant Requirements(s): none
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2018-11-06-1-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/27/2018
Date Tested: 11/15/2018
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
112010036150.5040.2610758503027.1Brian
UTM 67KIP
Temperature 72 f

Test 2 of 8

DIME Test ID: 2018-11-06-1-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/27/2018
Date Tested: 11/15/2018
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
212010036150.5050.2614188554026.2Brian
UTM 67KIP
Temperature 72 f

Test 3 of 8

DIME Test ID: 2018-11-06-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/27/2018
Date Tested: 11/15/2018
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) 1201003615
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 in
Gage Type Pass

Test 4 of 8

DIME Test ID: 2018-11-06-1-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/27/2018
Date Tested: 11/15/2018
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. 1B
Rocap Number no data
Heat Number(s) 1201003615
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 in
Gage Type Pass

Test 5 of 8

DIME Test ID: 2018-11-06-1-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/27/2018
Date Tested: 11/15/2018
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. 1C
Rocap Number no data
Heat Number(s) 1201003615
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 in
Gage Type Pass

Test 6 of 8

DIME Test ID: 2018-11-06-1-6
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: 11/27/2018
Date Tested: 11/15/2018
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) 1201003615
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 in
Measurement Average 7.68 mils

Test 7 of 8

DIME Test ID: 2018-11-06-1-7
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: 11/27/2018
Date Tested: 11/15/2018
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. 1B
Rocap Number no data
Heat Number(s) 1201003615
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 in
Measurement Average 8.94 mils

Test 8 of 8

DIME Test ID: 2018-11-06-1-8
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: 11/27/2018
Date Tested: 11/15/2018
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. 1C
Rocap Number no data
Heat Number(s) 1201003615
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.5 in
Bolt Length 60 in
Measurement Average 8.36 mils