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Sample Record for 2020-12-09-2

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

Project Information

Project ID: 214029 DEA: 07301104 EFIS: 0714000009 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60,710-710-R2.8/11.8, 24.1/25.1
Work Description: Roadway ex, place jointed plain concrete pavement & concrete barrieres
Location Description: In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation.
Contractor Name: GUY F. ATKINSON CONSTRUCTION, LLC
Contractor Address: 18201 Von Karman Ave #800, Irvine, CA 92612
Resident Engineer: Sepand Minovi Structure Rep.: Rick Jensen

Sample Information

DIME Sample ID: 2020-12-09-2
TL Number from the TL Form: na
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Stock
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/09/2020
The quantity of what the sample constitutes: 3200
A brief description of the sample: F436 Flat Washers
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier: 07-301104
Structure name: na
The fabricator/manufacturer/facility name: Universal Industrial Sales Inc

Material Information

Rocap Number(s): na
Heat Number(s): A63078
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): D9432
Bolt Specification: na
Bolt Length(s): na
Nut Specification: na
Washer Specification: F436
Finish: Mechanical Galvanize
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: na
Rocap Test Requirement(s): na
Lubricant Requirements(s): na

Test Results

Test 1 of 8

DIME Test ID: 2020-12-09-2-1
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: 12/22/2020
Date Tested: 12/21/2020
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 D9432
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 3.21 mils

Test 2 of 8

DIME Test ID: 2020-12-09-2-2
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: 12/22/2020
Date Tested: 12/21/2020
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9432
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 3.02 mils

Test 3 of 8

DIME Test ID: 2020-12-09-2-3
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: 12/22/2020
Date Tested: 12/21/2020
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9432
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 2.95 mils

Test 4 of 8

DIME Test ID: 2020-12-09-2-4
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: 12/22/2020
Date Tested: 12/21/2020
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9432
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 2.76 mils

Test 5 of 8

DIME Test ID: 2020-12-09-2-5
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: 12/22/2020
Date Tested: 12/21/2020
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9432
Finish Coating ASTM B695 - Mech Galv
Product Markings P F436
Size .75 in
Bolt Length no data in
Measurement Average 3.52 mils

Test 6 of 8

DIME Test ID: 2020-12-09-2-6
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2020
Date Tested: 12/21/2020
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 D9432
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 39.3
Spacing Ok

Test 7 of 8

DIME Test ID: 2020-12-09-2-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2020
Date Tested: 12/21/2020
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9432
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 39.9
Spacing Ok

Test 8 of 8

DIME Test ID: 2020-12-09-2-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2020
Date Tested: 12/21/2020
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9432
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 38.9
Spacing Ok

Tests Assigned to this Sample

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