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Sample Record for 2021-01-21-6

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

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: Barrier modifications, overhead signs, freeway lighting and electronic toll system components
Location Description: SANTA CLARA AND SAN MATEO COUNTIES FROM 0.3 MILE NORTH OF SAN ANTONIO ROAD TO 0.3 MILE SOUTH OF GRAND AVENUE INTERCHANGE
Contractor Name: KIEWIT INFRASTRUCTURE COMPANY
Contractor Address: 1301 SHOREWAY RD, SUITE 275, BELMONT, CA 94402
Resident Engineer: Douglas Inori Structure Rep.: Pinell, Tyler

Sample Information

DIME Sample ID: 2021-01-21-6
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
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: 37 fastener assemblies
A brief description of the sample: HS Bolt Assembly
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): TT0135396
Heat Number(s): 10559140
Nut Mfg. Lot Number(s): L035T1
Washer Mfg. Lot Number(s): D9266
Bolt Specification: ASTM F3125, Gr A325
Bolt Length(s): 2"
Nut Specification: ASTM F563 Gr DH
Washer Specification: ASTM F436
Finish: MG B695, Class 55
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: M5186
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes

Test Results

Test 1 of 7

DIME Test ID: 2021-01-21-6-1
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 with Wedge)
Verified Date: 02/04/2021
Date Tested: 02/01/2021
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: A325 Wedge Tensile
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1AM51860.50001968687.5710.00A325 Wedge Tensilespaine
UTM 450kip
Temperature no data

Test 2 of 7

DIME Test ID: 2021-01-21-6-3
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 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
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1AL035T123094Nut Proof Loadspaine
UTM 450kip
Temperature 72 f

Test 3 of 7

DIME Test ID: 2021-01-21-6-4
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: 02/03/2021
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:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number M5186
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .5 in
Bolt Length 2 in
Gage Type Pass

Test 4 of 7

DIME Test ID: 2021-01-21-6-6
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: 02/03/2021
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:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number M5186
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .5 in
Bolt Length 2 in
Measurement Average 3.43 mils

Test 5 of 7

DIME Test ID: 2021-01-21-6-7
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: 02/03/2021
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:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number L035T1
Finish Coating ASTM B695 - Mech Galv
Product Markings DH USA LE
Size .5 in
Bolt Length no data in
Measurement Average 3.57 mils

Test 6 of 7

DIME Test ID: 2021-01-21-6-8
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: 02/03/2021
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:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9266
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .5 in
Bolt Length no data in
Measurement Average 3.18 mils

Test 7 of 7

DIME Test ID: 2021-01-21-6-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/04/2021
Date Tested: 02/03/2021
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:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D9266
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.4
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.