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Sample Record for 2019-04-16-1

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: 2019-04-16-1
TL Number from the TL Form:
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: 04/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/26/2019
The quantity of what the sample constitutes: 5
A brief description of the sample: 2" A563-DH HDG anchor assembly nuts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): none
Heat Number(s): 188194
Nut Mfg. Lot Number(s): Dyson DDYO
Washer Mfg. Lot Number(s): n/a
Bolt Specification: n/a
Bolt Length(s): n/a
Nut Specification: A563-DH
Washer Specification: n/a
Finish: HDG
Diameter/Size: 2"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s): none
Lubricant Requirements(s): yes
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2019-04-16-1-1
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: 04/30/2019
Date Tested: 04/29/2019
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 DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Measurement Average 3.84 mils

Test 2 of 8

DIME Test ID: 2019-04-16-1-2
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: 04/30/2019
Date Tested: 04/29/2019
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) no data
Mfg. Lot Number DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Measurement Average 4.47 mils

Test 3 of 8

DIME Test ID: 2019-04-16-1-3
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: 04/30/2019
Date Tested: 04/29/2019
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) no data
Mfg. Lot Number DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Measurement Average 4.76 mils

Test 4 of 8

DIME Test ID: 2019-04-16-1-4
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: 04/30/2019
Date Tested: 04/29/2019
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Measurement Average 3.5 mils

Test 5 of 8

DIME Test ID: 2019-04-16-1-5
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: 04/30/2019
Date Tested: 04/29/2019
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Measurement Average 4.57 mils

Test 6 of 8

DIME Test ID: 2019-04-16-1-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/30/2019
Date Tested: 04/29/2019
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 DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 29.83
Spacing Ok

Test 7 of 8

DIME Test ID: 2019-04-16-1-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/30/2019
Date Tested: 04/29/2019
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) no data
Mfg. Lot Number DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.53
Spacing Ok

Test 8 of 8

DIME Test ID: 2019-04-16-1-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/30/2019
Date Tested: 04/29/2019
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) no data
Mfg. Lot Number DDYO
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH D/N 2H
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 28.8
Spacing Ok