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Sample Record for 2020-07-13-16

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

Project Information

Project ID: 212777 DEA: 021H1104 EFIS: 0215000106 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-299-25.58/25.58
Work Description: BUILDING WORK.
Location Description: LASSEN COUNTY ABOUT 11 MILES EAST OF BIEBER AT THE ADIN MAINTENANCE STATION
Contractor Name: Walsh Construction Company II, LLC (Walsh)
Contractor Address: 1390 Willow Pass Road Suite 950, Concord, CA 94520
Resident Engineer: Mike Zdenek Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2020-07-13-16
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: 07/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/17/2020
The quantity of what the sample constitutes: 359
A brief description of the sample: F436 HDG washer
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C and K Johnson Industries

Material Information

Rocap Number(s): n/a
Heat Number(s): X0423
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): D8070
Bolt Specification: n/a
Bolt Length(s): n/a
Nut Specification: n/a
Washer Specification: ASTM F436
Finish: ASTM A153
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2020-07-13-16-1
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: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Measurement Average 3.13 mils

Test 2 of 8

DIME Test ID: 2020-07-13-16-2
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: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Measurement Average 4.62 mils

Test 3 of 8

DIME Test ID: 2020-07-13-16-3
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: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Measurement Average 4.49 mils

Test 4 of 8

DIME Test ID: 2020-07-13-16-4
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: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Measurement Average 3.13 mils

Test 5 of 8

DIME Test ID: 2020-07-13-16-5
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: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Measurement Average 4.72 mils

Test 6 of 8

DIME Test ID: 2020-07-13-16-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.05
Spacing Ok

Test 7 of 8

DIME Test ID: 2020-07-13-16-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.35
Spacing Ok

Test 8 of 8

DIME Test ID: 2020-07-13-16-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 07/29/2020
Date Tested: 07/29/2020
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 D8070
Finish Coating ASTM F2329 - Hot Dip
Product Markings P F436
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.95
Spacing Ok