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Sample Record for 2021-07-27-2

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

Project Information

Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly

Sample Information

DIME Sample ID: 2021-07-27-2
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: 07/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2021
The quantity of what the sample constitutes: 170
A brief description of the sample: Wire Rod
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Bolt

Material Information

Rocap Number(s):
Heat Number(s): 1201015428
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: F1554 Grade 36
Bolt Length(s): 10"
Nut Specification: n/a
Washer Specification: n/a
Finish: HDG
Diameter/Size: .50"
Bolt Mfg. Lot Number: 410101542840
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2021-07-27-2-1
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 08/04/2021
Date Tested: 08/04/2021
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: F1554 Anchor Rod Axial PULL
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeArea (in^2)Peak Load (lbf)Peak Load (kN)Tensile Strength (psi)Stress at Offset (psi)Load at Offset (lbf)Comments
1UNC 1/2 0.1419104634673709649359214F1554 Anchor Rod Axial PULL
UTM 400kip
Temperature 72

Test 2 of 6

DIME Test ID: 2021-07-27-2-2
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 08/04/2021
Date Tested: 08/04/2021
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: F1554 Anchor Rod Axial PULL
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeArea (in^2)Peak Load (lbf)Peak Load (kN)Tensile Strength (psi)Stress at Offset (psi)Load at Offset (lbf)Comments
2UNC 1/2 0.1419104554673666652079253F1554 Anchor Rod Axial PULL
UTM 400kip
Temperature 72

Test 3 of 6

DIME Test ID: 2021-07-27-2-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2021
Date Tested: 08/04/2021
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) 1201015428
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .5 in
Bolt Length 10 in
Gage Type Pass

Test 4 of 6

DIME Test ID: 2021-07-27-2-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2021
Date Tested: 08/04/2021
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. 1B
Rocap Number no data
Heat Number(s) 1201015428
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .5 in
Bolt Length 10 in
Gage Type Pass

Test 5 of 6

DIME Test ID: 2021-07-27-2-5
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: 08/04/2021
Date Tested: 08/04/2021
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) 1201015428
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .5 in
Bolt Length 10 in
Measurement Average 8.81 mils

Test 6 of 6

DIME Test ID: 2021-07-27-2-6
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: 08/04/2021
Date Tested: 08/04/2021
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. 1B
Rocap Number no data
Heat Number(s) 1201015428
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .5 in
Bolt Length 10 in
Measurement Average 6.73 mils