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Sample Record for 2020-09-14-8

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

Project Information

Project ID: 214228 DEA: 120N4904 EFIS: 1214000050 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R12.5/R13.9
Work Description: VEHICLE ENFORCEMENT FACILITY IMPROVEMENT AT PERALTA WEIGH STATION.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 1.0 MILE EAST OF ROUTE 91/90 SEPARATION TO 0.5 MILE WEST OF WEIR CANYON ROAD UNDERCROSSING
Contractor Name: SPECTRUM CONSTRUCTION GROUP, INC.
Contractor Address: 32 EDELMAN, IRVINE, CA 92618
Resident Engineer: Dat Pham Structure Rep.: Bijan Ronagh-Langroodi

Sample Information

DIME Sample ID: 2020-09-14-8
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: 09/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2020
The quantity of what the sample constitutes: 110
A brief description of the sample: 1/2" washers HDG
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bristol Machine

Material Information

Rocap Number(s):
Heat Number(s): 191079
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): 5716
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2020-09-14-8-1
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: 09/30/2020
Date Tested: 09/28/2020
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) 191079
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size no data in
Bolt Length no data in
Measurement Average 2.5 mils

Test 2 of 5

DIME Test ID: 2020-09-14-8-2
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: 09/30/2020
Date Tested: 09/28/2020
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) 191079
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size no data in
Bolt Length no data in
Measurement Average 3.04 mils

Test 3 of 5

DIME Test ID: 2020-09-14-8-3
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: 09/30/2020
Date Tested: 09/28/2020
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) 191079
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size no data in
Bolt Length no data in
Measurement Average 3.23 mils

Test 4 of 5

DIME Test ID: 2020-09-14-8-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/30/2020
Date Tested: 09/28/2020
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) 191079
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 37.3
Spacing Ok

Test 5 of 5

DIME Test ID: 2020-09-14-8-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/30/2020
Date Tested: 09/28/2020
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) 191079
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size no data in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.7
Spacing Ok