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Sample Record for 2021-01-21-3

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Project Information

Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: San Mateo US 101 Express Lanes North
Location Description:
Contractor Name: KIEWIT INFRASTRUCTURE COMPANY
Contractor Address: 1301 SHOREWAY RD, SUITE 275, BELMONT, CA 94402
Resident Engineer: Douglas Inori Structure Rep.: Tyler Pinell

Sample Information

DIME Sample ID: 2021-01-21-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 01/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/27/2021
The quantity of what the sample constitutes: 14 Fastener Assemblies
A brief description of the sample: ASTM F3125 GR A325 Hex Bolt assemblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Overhead Sign Structures
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s): 132324R
Heat Number(s): 201436
Nut Mfg. Lot Number(s): 27724-75070238
Washer Mfg. Lot Number(s): D4382
Bolt Specification: ASTM F3125 A325
Bolt Length(s): 4"
Nut Specification: ASTM A563, Grade DH
Washer Specification: ASTM F436
Finish: MG ASTM B695, Class 55
Diameter/Size: 1-1/2"
Bolt Mfg. Lot Number: 132324
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2021-01-21-3-1
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: 02/04/2021
Date Tested: 02/02/2021
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: 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
1A27724-75070238217090Nut Proof Loadspaine
UTM 450kip
Temperature 72 f

Test 2 of 8

DIME Test ID: 2021-01-21-3-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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 132324
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 BF
Size 1.5 in
Bolt Length 4 in
Gage Type Pass

Test 3 of 8

DIME Test ID: 2021-01-21-3-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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 27724-75070238
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size 1.5 in
Gage Type NA

Test 4 of 8

DIME Test ID: 2021-01-21-3-4
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: 02/04/2021
Date Tested: 02/04/2021
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 132324
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 BF
Size 1.5 in
Bolt Length 4 in
Measurement Average 3.4 mils

Test 5 of 8

DIME Test ID: 2021-01-21-3-5
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: 02/04/2021
Date Tested: 02/04/2021
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 27724-75070238
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size 1.5 in
Bolt Length no data in
Measurement Average 2.81 mils

Test 6 of 8

DIME Test ID: 2021-01-21-3-6
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: 02/04/2021
Date Tested: 02/04/2021
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 D4382
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1.5 in
Bolt Length no data in
Measurement Average 2.55 mils

Test 7 of 8

DIME Test ID: 2021-01-21-3-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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 132324
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 BF
Size 1.5 in
Bolt Length 4 in
Hardness Reading Scale C Scale
Hardness Reading Average 29.2
Spacing Ok

Test 8 of 8

DIME Test ID: 2021-01-21-3-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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 D4382
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1.5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.05
Spacing Ok