Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214421 DEA: 01362704 EFIS: 0116000031
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1-62.2/R78.9
Work Description: HOT MIX ASPHALT OVERLAY.
Location Description: MENDOCINO COUNTY NEAR FORT BRAGG FROM 0.1 MILE NORTH OF PUDDING CREEK BRIDGE TO 0.6 MILE NORTH OF WAGES CREEK BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 South State Street, Ukiah, CA 95482
Resident Engineer: Roozbeh Hadipour Structure Rep.: Unknown
DIME Sample ID: 2020-03-24-5
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 03/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2020
The quantity of what the sample constitutes: 200
A brief description of the sample: ASTM F436 Washer
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HEXICO ENTERPRISE COMPANY
Rocap Number(s): N/A
Heat Number(s): 1PW61
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): 882C5FNJ2
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: ASTM B695
Diameter/Size: 5/8" DIAMETER
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): no
Lubricant Requirements(s):
DIME Test ID: 2020-03-24-5-1
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: 04/15/2020
Date Tested: 04/14/2020
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)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.93 mils
|
DIME Test ID: 2020-03-24-5-2
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
4 mils
|
DIME Test ID: 2020-03-24-5-3
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.61 mils
|
DIME Test ID: 2020-03-24-5-4
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.51 mils
|
DIME Test ID: 2020-03-24-5-5
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.77 mils
|
DIME Test ID: 2020-03-24-5-6
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1F
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.9 mils
|
DIME Test ID: 2020-03-24-5-7
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1G
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.72 mils
|
DIME Test ID: 2020-03-24-5-8
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1H
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.72 mils
|
DIME Test ID: 2020-03-24-5-9
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: 04/15/2020
Date Tested: 04/14/2020
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.
|
1I
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.3 mils
|
DIME Test ID: 2020-03-24-5-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
41.85
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
40.8
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-12
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.85
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-13
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
41.91
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-14
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.35
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-15
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1F
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
40.55
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-16
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1G
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
41.05
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-17
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1H
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.55
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-5-18
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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.
|
1I
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
882C5FNJ2
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
no data
|
Size
|
.625 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
37.5
|
Spacing
|
Ok
|