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Sample Record for 2021-05-20-1

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

Project Information

Project ID: 215032 DEA: 030H5204 EFIS: 0315000202 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-0.0/80.4
Work Description: INSTALL CMS, CAMERA SYSTEMS AND TMS ELEMENTS.
Location Description: EL DORADO COUNTY AT VARIOUS LOCATIONS FROM THE SACRAMENTO COUNTY LINE TO CALIFORNIA/NEVADA STATE LINE
Contractor Name: TIM PAXIN'S PACIFIC EXCAVATION INC
Contractor Address: 9796 KENT STREET, ELK GROVE CA 95624
Resident Engineer: Juanah Koker Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-20-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 05/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/24/2021
The quantity of what the sample constitutes: 7 Nuts
A brief description of the sample: 3/4-10 Heavy Hex Nut
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structural and Steel Products

Material Information

Rocap Number(s): 3/31/21E
Heat Number(s): DL20101940
Nut Mfg. Lot Number(s): 440297A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: A325
Washer Specification: N/A
Finish: Hot Dip Galve
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s):
Lubricant Requirements(s): ASTM A563 Supplement S2

Test Results

Test 1 of 7

DIME Test ID: 2021-05-20-1-1
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: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
General Comments for this Test: Nut Proof
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1440297A52826Nut Prooffsaylor
UTM 450kip
Temperature 72 f

Test 2 of 7

DIME Test ID: 2021-05-20-1-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
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 440297A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Gage Type Pass

Test 3 of 7

DIME Test ID: 2021-05-20-1-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
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 440297A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Gage Type Pass

Test 4 of 7

DIME Test ID: 2021-05-20-1-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
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 440297A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Gage Type Pass

Test 5 of 7

DIME Test ID: 2021-05-20-1-5
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: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
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 440297A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Bolt Length no data in
Measurement Average 2.47 mils

Test 6 of 7

DIME Test ID: 2021-05-20-1-6
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: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
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 440297A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Bolt Length no data in
Measurement Average 3.91 mils

Test 7 of 7

DIME Test ID: 2021-05-20-1-7
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: 05/26/2021
Date Tested: 05/24/2021
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: 916-227-7257
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 440297A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Bolt Length no data in
Measurement Average 2.67 mils