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Sample Record for 2019-08-08-3

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: 2019-08-08-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/08/2019
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2019
The quantity of what the sample constitutes: 9
A brief description of the sample: 1-1/8" A563 -DH Hex Nuts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT

Material Information

Rocap Number(s): NA
Heat Number(s): 3058958
Nut Mfg. Lot Number(s): W4057
Washer Mfg. Lot Number(s): NA
Bolt Specification: NA
Bolt Length(s): NA
Nut Specification: ASTM A563 Grade DH
Washer Specification: NA
Finish: Mechanically Galvanized
Diameter/Size: 1-1/8"
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s): NA
Lubricant Requirements(s): No Wax No Dye
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2019-08-08-3-1
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: 08/22/2019
Date Tested: 08/22/2019
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 W4057
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.125 in
Bolt Length no data in
Measurement Average 3.99 mils

Test 2 of 5

DIME Test ID: 2019-08-08-3-2
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: 08/22/2019
Date Tested: 08/22/2019
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 W4057
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.125 in
Bolt Length no data in
Measurement Average 4.11 mils

Test 3 of 5

DIME Test ID: 2019-08-08-3-3
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: 08/22/2019
Date Tested: 08/22/2019
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 W4057
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.125 in
Bolt Length no data in
Measurement Average 3.74 mils

Test 4 of 5

DIME Test ID: 2019-08-08-3-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 08/22/2019
Date Tested: 08/22/2019
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 W4057
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.125 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 37.17
Spacing Ok

Test 5 of 5

DIME Test ID: 2019-08-08-3-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 08/22/2019
Date Tested: 08/22/2019
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 W4057
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.125 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 35.97
Spacing Ok