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Sample Record for 2020-05-08-5

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

Project Information

Project ID: 213485 DEA: 032F9804 EFIS: 0312000026 QA Service Level: 1
DIST-CO-RTE-PM: 03-COL-20-31.7/32.9
Work Description: PAVEMENT REHABILITATION
Location Description: COLUSA COUNTY IN AND NEAR COLUSA FROM 0.1 MILE EAST OF THE MARKET STREET/STATE ROUTE 20 INTERSECTION TO 0.1 MILE SOUTH OF BUTTE VISTA DRIVE
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 24207 County Road 100A, Davis CA 95617
Resident Engineer: Anthony Granados Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-08-5
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/08/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2020
The quantity of what the sample constitutes: 17
A brief description of the sample: 2.25" x 4' 6" F1154 Gr 55
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s): N/A
Heat Number(s): 1201012623
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: F1554 GR55
Bolt Length(s): 4' 6"
Nut Specification: N/A
Washer Specification: N/A
Finish: Partial HDG
Diameter/Size: 2.25
Bolt Mfg. Lot Number: 120101262320
Rocap Test Requirement(s): NO
Lubricant Requirements(s): NO

Test Results

Test 1 of 4

DIME Test ID: 2020-05-08-5-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 05/13/2020
Date Tested: 05/13/2020
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: 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
112010126230.5010.197642879312925.3fsaylor
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2020-05-08-5-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/13/2020
Date Tested: 05/13/2020
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: 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) 1201012623
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Gage Type Pass

Test 3 of 4

DIME Test ID: 2020-05-08-5-3
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: 05/13/2020
Date Tested: 05/13/2020
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: 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) 1201012623
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.250 in
Bolt Length 54 in
Measurement Average 7.86 mils

Test 4 of 4

DIME Test ID: 2020-05-08-5-4
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 05/13/2020
Date Tested: 05/13/2020
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: 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
212010126230.50.196650159369825.3fsaylor
UTM 67kip
Temperature 72 f

Tests Assigned to this Sample

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