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Sample Record for 2020-09-23-13

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: 2020-09-23-13
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 09/23/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2020
The quantity of what the sample constitutes: 20
A brief description of the sample: 5/8" HHN 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): 6215169002
Nut Mfg. Lot Number(s): 32395-6215169002
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: ASTM A563 Gr. DH
Washer Specification: N/A
Finish: HDG
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 3

DIME Test ID: 2020-09-23-13-1
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 09/30/2020
Date Tested: 09/29/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1A32395-621516900236158Nut Proof Loadspaine
UTM 450kip
Temperature 72 f

Test 2 of 3

DIME Test ID: 2020-09-23-13-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/30/2020
Date Tested: 09/29/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
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) no data
Mfg. Lot Number 32395-6215169002
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH U
Size .625 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2020-09-23-13-3
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: 09/29/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
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) no data
Mfg. Lot Number 32395-6215169002
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH U
Size .625 in
Bolt Length no data in
Measurement Average 4.49 mils

Tests Assigned to this Sample

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