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Sample Record for 2020-05-28-1

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Project Information

Project ID: 213856 DEA: 112888U4 EFIS: 1118000199 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11,125,905-Various
Work Description: CONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: Skanska USA Civil West CA
Contractor Address: 1995 Agua Mansa Road, Riverside, CA 92509
Resident Engineer: Carlos Covarrubias Structure Rep.: Wade Durant

Sample Information

DIME Sample ID: 2020-05-28-1
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: 05/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/03/2020
The quantity of what the sample constitutes: 24
A brief description of the sample: Anchor Bolt
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp

Material Information

Rocap Number(s):
Heat Number(s): 1202019338
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: ASTM F1554 Grade 55
Bolt Length(s): 20"
Nut Specification: n/a
Washer Specification: n/a
Finish: Hot Dipped Galvanized
Diameter/Size: 1 1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2020-05-28-1-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 06/09/2020
Date Tested: 06/08/2020
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
112020193380.4990.1966123784256-100spaine
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2020-05-28-1-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 06/09/2020
Date Tested: 06/08/2020
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
212020193380.50.196608698391829.1spaine
UTM 67kip
Temperature 72 f

Test 3 of 4

DIME Test ID: 2020-05-28-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 06/09/2020
Date Tested: 06/09/2020
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) 1202019338
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Gage Type Pass

Test 4 of 4

DIME Test ID: 2020-05-28-1-4
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: 06/09/2020
Date Tested: 06/09/2020
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) 1202019338
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Measurement Average 4.52 mils