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Sample Record for 2021-09-23-23

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

Project Information

Project ID: 214402 DEA: 010E7704 EFIS: 0115000009 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R17.9/87.8
Work Description: STRENGTHEN 2 BRIDGES.
Location Description: HUMBOLDT COUNTY AT SOUTH FORK EEL RIVER AND SEPARATION AND AT ARCATA OVERHEAD
Contractor Name: Freyssinet Inc
Contractor Address: 44880 Falcon Place, Suite 100, Sterling, VA 20166
Resident Engineer: Joaquin Rodriguez Structure Rep.: Mike McCracken

Sample Information

DIME Sample ID: 2021-09-23-23
TL Number from the TL Form: C658232
Sample Submitted By Organization: CT HQ - 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: 09/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/27/2021
The quantity of what the sample constitutes: 42 assemblies
A brief description of the sample: 3/4"x 2 3/4" A325 HDG Fastener with nut and washer
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: unknown
The fabricator/manufacturer/facility name: CK Johnson Industries

Material Information

Rocap Number(s): 455650AR
Heat Number(s): Bolt- 100109300 Nut- 100108514 washer- B60790
Nut Mfg. Lot Number(s): Nucor- 455273A
Washer Mfg. Lot Number(s): Prestige Stamping- E1386
Bolt Specification: A3125 -A325 typ 1
Bolt Length(s): 2 3/4"
Nut Specification: A563 Gr DH
Washer Specification: F436
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: Nucor- 455650A
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Results

Test 1 of 8

DIME Test ID: 2021-09-23-23-2
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: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A325
Test Result Compliance:
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
1455650A0.750048264214.6910.00A325fsaylor
UTM 450kip
Temperature no data

Test 2 of 8

DIME Test ID: 2021-09-23-23-3
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: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A563
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1455273A52915A563fsaylor
UTM 450kip
Temperature 72 f

Test 3 of 8

DIME Test ID: 2021-09-23-23-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 267936
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA N
Size .75 in
Bolt Length 2.75 in
Gage Type Pass

Test 4 of 8

DIME Test ID: 2021-09-23-23-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 455273A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Gage Type Pass

Test 5 of 8

DIME Test ID: 2021-09-23-23-6
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: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 267936
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA N
Size .75 in
Bolt Length 2.75 in
Measurement Average 3.22 mils

Test 6 of 8

DIME Test ID: 2021-09-23-23-7
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: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 455273A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .75 in
Bolt Length no data in
Measurement Average 5.42 mils

Test 7 of 8

DIME Test ID: 2021-09-23-23-8
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: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 E1386
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .75 in
Bolt Length no data in
Measurement Average 3.35 mils

Test 8 of 8

DIME Test ID: 2021-09-23-23-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/01/2021
Date Tested: 09/29/2021
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 E1386
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 42.05
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.