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Sample Record for 2021-04-13-1

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

Project Information

Project ID: 214893 DEA: 010A1204 EFIS: 0113000109 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-96,101-VAR
Work Description: PARTIAL BRIDGE REMOVAL, SEISMIC RETROFIT AND RECONSTRUCT GUARDRAIL.
Location Description: HUMBOLDT COUNTY AT VARIOUS LOCATIONS
Contractor Name: Steelhead Constructors JV
Contractor Address: P.O. Box 536, Palo Cedro, CA 96073
Resident Engineer: Brian Winter Structure Rep.: Laura Cangas

Sample Information

DIME Sample ID: 2021-04-13-1
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: 04/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2021
The quantity of what the sample constitutes: 46 ea.
A brief description of the sample: 7/8 X 2-1/2 A-325 HSB Assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s): 451009AR
Heat Number(s): 1000105995
Nut Mfg. Lot Number(s): 444695A
Washer Mfg. Lot Number(s): 105594 6130
Bolt Specification: A-325
Bolt Length(s): 2-1/2"
Nut Specification: A-563
Washer Specification: F-436
Finish: Galv
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: 451009A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 8

DIME Test ID: 2021-04-13-1-1
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: 04/21/2021
Date Tested: 04/19/2021
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
1A444695A72730Nut Proof Loadspaine
UTM 450kip
Temperature 72 f

Test 2 of 8

DIME Test ID: 2021-04-13-1-2
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 04/21/2021
Date Tested: 12/31/1969
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 451009A
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA N
Size .875 in
Bolt Length 2.5 in
Pitch Diameter .875 in
Pitch Diameter 2nd .875 in

Test 3 of 8

DIME Test ID: 2021-04-13-1-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 04/21/2021
Date Tested: 12/31/1969
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 444695A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .875 in
Gage Type NA

Test 4 of 8

DIME Test ID: 2021-04-13-1-4
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: 04/21/2021
Date Tested: 12/31/1969
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 451009A
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA N
Size .875 in
Bolt Length 2.5 in
Measurement Average 5.29 mils

Test 5 of 8

DIME Test ID: 2021-04-13-1-5
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: 04/21/2021
Date Tested: 12/31/1969
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 444695A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .875 in
Bolt Length no data in
Measurement Average 3.08 mils

Test 6 of 8

DIME Test ID: 2021-04-13-1-6
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: 04/21/2021
Date Tested: 12/31/1969
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 6130
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size .875 in
Bolt Length no data in
Measurement Average 5.34 mils

Test 7 of 8

DIME Test ID: 2021-04-13-1-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/21/2021
Date Tested: 12/31/1969
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 451009A
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA N
Size .875 in
Bolt Length 2.5 in
Hardness Reading Scale C Scale
Hardness Reading Average 27.4
Spacing Ok

Test 8 of 8

DIME Test ID: 2021-04-13-1-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/21/2021
Date Tested: 12/31/1969
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 6130
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size .875 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.9
Spacing Ok