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Sample Record for 2020-11-17-3

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

Project Information

Project ID: 212085 DEA: 07296604 EFIS: 0713000057 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-14.0/19.0
Work Description: PAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK)
Location Description: IN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE
Contractor Name: CL Industrial Coating Inc.
Contractor Address: 11650 Western Ave., Stanton, CA 90680
Resident Engineer: Pravin Patel Structure Rep.: Nabil Shmara

Sample Information

DIME Sample ID: 2020-11-17-3
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: 11/17/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2020
The quantity of what the sample constitutes: 44
A brief description of the sample: 3/4" x 1 3/4" TC bolt assemblies
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Page Industries

Material Information

Rocap Number(s): N/A
Heat Number(s): Bolt 100892474 HHN 75072730 Washer 11815570
Nut Mfg. Lot Number(s): 29340-75072730
Washer Mfg. Lot Number(s): D6305
Bolt Specification: ASTM A325
Bolt Length(s): 1 3/4"
Nut Specification: ASTM A563 Gr. DH
Washer Specification: ASTM F436
Finish: MG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: 29359-1008924474
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 8

DIME Test ID: 2020-11-17-3-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/03/2020
Date Tested: 12/02/2020
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 29359-100892474
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size .75 in
Bolt Length 1.75 in
Gage Type Pass

Test 2 of 8

DIME Test ID: 2020-11-17-3-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/03/2020
Date Tested: 12/02/2020
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 29340-75072730
Finish Coating ASTM B695 - Mech Galv
Product Markings U DH
Size .75 in
Gage Type Pass

Test 3 of 8

DIME Test ID: 2020-11-17-3-3
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: 12/03/2020
Date Tested: 12/02/2020
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 29359-100892474
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size .75 in
Bolt Length 1.75 in
Measurement Average 2.32 mils

Test 4 of 8

DIME Test ID: 2020-11-17-3-4
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: 12/03/2020
Date Tested: 12/02/2020
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 29340-75072730
Finish Coating ASTM B695 - Mech Galv
Product Markings U DH
Size .75 in
Bolt Length no data in
Measurement Average 2.17 mils

Test 5 of 8

DIME Test ID: 2020-11-17-3-5
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: 12/03/2020
Date Tested: 12/02/2020
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 D6305
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 2.85 mils

Test 6 of 8

DIME Test ID: 2020-11-17-3-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/03/2020
Date Tested: 12/02/2020
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 29359-100892474
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size .75 in
Bolt Length 1.75 in
Hardness Reading Scale C Scale
Hardness Reading Average 32.35
Spacing Ok

Test 7 of 8

DIME Test ID: 2020-11-17-3-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/03/2020
Date Tested: 12/02/2020
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 D6305
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.2
Spacing Ok

Test 8 of 8

DIME Test ID: 2020-11-17-3-8
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: 12/03/2020
Date Tested: 12/03/2020
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: A563
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1A29340-7507273053133A563fsaylor
UTM 450kip
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.