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Sample Record for 2018-11-20-1

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: 2018-11-20-1
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: 11/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 11/21/2018
The quantity of what the sample constitutes: 5 ea.
A brief description of the sample: 1" x 2 1/4" A325 MG bolt, 1" F436 MG washer
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): none
Heat Number(s): 20391740, 0159721
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): Prestige D3945
Bolt Specification: A325 MG
Bolt Length(s): 2 1/4"
Nut Specification: n/a
Washer Specification: F436 MG
Finish: MG
Diameter/Size: 1" x 2 1/4" , 1"
Bolt Mfg. Lot Number: SLSB, BMO196
Rocap Test Requirement(s): none
Lubricant Requirements(s): none

Test Results

Test 1 of 5

DIME Test ID: 2018-11-20-1-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/30/2018
Date Tested: 11/27/2018
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 BM0196
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size 1 in
Bolt Length 2.25 in
Gage Type Pass

Test 2 of 5

DIME Test ID: 2018-11-20-1-2
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: 11/30/2018
Date Tested: 11/27/2018
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 BM0196
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size 1 in
Bolt Length 2.25 in
Measurement Average 3.48 mils

Test 3 of 5

DIME Test ID: 2018-11-20-1-3
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: 11/30/2018
Date Tested: 11/27/2018
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 D3945
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 3.34 mils

Test 4 of 5

DIME Test ID: 2018-11-20-1-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/30/2018
Date Tested: 11/27/2018
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 BM0196
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size 1 in
Bolt Length 2.25 in
Hardness Reading Scale C Scale
Hardness Reading Average 29.6
Spacing Ok

Test 5 of 5

DIME Test ID: 2018-11-20-1-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/30/2018
Date Tested: 11/27/2018
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 D3945
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.13
Spacing Ok