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Sample Record for 2020-02-11-2

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

Project Information

Project ID: 213489 Permit Numbers: 0817NMC1320 0819NRT0801 0819NRW0944 0819NRT0802 0819NRW0952 0819NRW1158 0819NRW1299 0820NRT0046 0820NRT0047 QA Service Level: 1
DIST-CO-RTE-PM: 08---27.05/27.55
Work Description: Enter onto Interstate 10 (I-10) right of way at Mountain View Avenue in the City of Redlands, to perform I-10 EB and WB off-ramps widening, install curb and gutter, ADA curb ramps, modify existing traffic signal, extend drainage box culvert, and install erosion control as per plans and specificatio
Location Description: I-10, EB and WB off-ramps, Loma Linda
Contractor Name: SELECT ELECTRIC
Contractor Address: 10603 Midway Avenue, CERRITOS, CA 90703
Resident Engineer: Viren Bhatt Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-02-11-2
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: 02/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/14/2020
The quantity of what the sample constitutes: 7
A brief description of the sample: 3/4"-10 x 15" x 3"
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp

Material Information

Rocap Number(s):
Heat Number(s): 3093312
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554 Grade 55
Bolt Length(s): 15" x 3"
Nut Specification: n/a
Washer Specification: n/a
Finish: Hot Dipped Galvanized
Diameter/Size: 3/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 3

DIME Test ID: 2020-02-11-2-1
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 02/18/2020
Date Tested: 02/14/2020
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: F1554 Full Length Tensile
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeArea (in^2)Peak Load (lbf)Peak Load (kN)Tensile Strength (psi)Stress at Offset (psi)Load at Offset (lbf)Comments
1AUNC 3/4 0.33432377144968467072023620F1554 Full Length Tensile
UTM 400kip
Temperature 72

Test 2 of 3

DIME Test ID: 2020-02-11-2-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/18/2020
Date Tested: 02/14/2020
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) 3093312
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size .75 in
Bolt Length 15 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2020-02-11-2-3
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: 02/18/2020
Date Tested: 02/14/2020
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) 3093312
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size .75 in
Bolt Length 15 in
Measurement Average 5.09 mils