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Sample Record for 2019-03-21-1

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Project Information

Project ID: 212726 DEA: 030F3514 EFIS: 0316000080 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-51,99-VAR
Work Description: ROADWAY EXCAVATION, HOT MIX ASPHALT AND MODIFY ELECTRICAL SYSTEM; SOLDIER PILES; CONCRETE RETAINING WALL
Location Description: SACRAMENTO COUNTY FROM 0.5 MILE SOUTH OF COSUMNES RIVER BOULEVARD TO 0.2 MILE EAST OF ARDEN WAY UNDERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Sushma Lee Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2019-03-21-1
TL Number from the TL Form:
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: 03/21/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2019
The quantity of what the sample constitutes: 75 pcs
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Nucor

Material Information

Rocap Number(s):
Heat Number(s): 1201006809
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554
Bolt Length(s):
Nut Specification: N/A
Washer Specification: N/A
Finish: HDG
Diameter/Size: 2 1/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 8

DIME Test ID: 2019-03-21-1-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/02/2019
Date Tested: 04/02/2019
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
112010068090.5020.198591738182028Fred
UTM 67KIP
Temperature 72 f

Test 2 of 8

DIME Test ID: 2019-03-21-1-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/02/2019
Date Tested: 04/02/2019
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
212010068090.5040.2571958198028.2Fred
UTM 67KIP
Temperature 72 f

Test 3 of 8

DIME Test ID: 2019-03-21-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/02/2019
Date Tested: 04/02/2019
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) 1201006809
Mfg. Lot Number no data
Finish Coating Plain and A153 and F2329
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Gage Type Pass

Test 4 of 8

DIME Test ID: 2019-03-21-1-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/02/2019
Date Tested: 04/02/2019
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) 1201006809
Mfg. Lot Number no data
Finish Coating Plain and A153 and F2329
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Gage Type Pass

Test 5 of 8

DIME Test ID: 2019-03-21-1-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/02/2019
Date Tested: 04/02/2019
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. 1C
Rocap Number no data
Heat Number(s) 1201006809
Mfg. Lot Number no data
Finish Coating Plain and A153 and F2329
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Gage Type Pass

Test 6 of 8

DIME Test ID: 2019-03-21-1-6
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: 04/02/2019
Date Tested: 04/02/2019
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) 1201006809
Mfg. Lot Number no data
Finish Coating Plain and A153 and F2329
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Measurement Average 3.77 mils

Test 7 of 8

DIME Test ID: 2019-03-21-1-7
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: 04/02/2019
Date Tested: 04/02/2019
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) 1201006809
Mfg. Lot Number no data
Finish Coating Plain and A153 and F2329
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Measurement Average 3.01 mils

Test 8 of 8

DIME Test ID: 2019-03-21-1-8
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: 04/02/2019
Date Tested: 04/02/2019
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. 1C
Rocap Number no data
Heat Number(s) 1201006809
Mfg. Lot Number no data
Finish Coating Plain and A153 and F2329
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Measurement Average 3.58 mils

Tests Assigned to this Sample

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