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Sample Record for 2021-10-04-2

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Project Information

Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Matt Antonelli Structure Rep.: Faisal Zahlout

Sample Information

DIME Sample ID: 2021-10-04-2
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2021
The quantity of what the sample constitutes: 3 Samples out of 40 pcs.
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp

Material Information

Rocap Number(s):
Heat Number(s): Nucor 1201034504
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: ASTM F1554
Bolt Length(s): 20"
Nut Specification: N/A
Washer Specification: N/A
Finish: ASTM F1554
Diameter/Size: 1-1/2"
Bolt Mfg. Lot Number: 120103450420
Rocap Test Requirement(s): Unknown
Lubricant Requirements(s): Unknown

Test Results

Test 1 of 8

DIME Test ID: 2021-10-04-2-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
112010345040.5050.2602088269827.4bewing
UTM 67kip
Temperature 72 f

Test 2 of 8

DIME Test ID: 2021-10-04-2-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
212010345040.5050.2602888284028.2bewing
UTM 67kip
Temperature 72 f

Test 3 of 8

DIME Test ID: 2021-10-04-2-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 1201034504
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Gage Type Pass

Test 4 of 8

DIME Test ID: 2021-10-04-2-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 1201034504
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Gage Type Pass

Test 5 of 8

DIME Test ID: 2021-10-04-2-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) 1201034504
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Gage Type Pass

Test 6 of 8

DIME Test ID: 2021-10-04-2-6
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: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 1201034504
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Measurement Average 4.62 mils

Test 7 of 8

DIME Test ID: 2021-10-04-2-7
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: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 1201034504
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Measurement Average 5.3 mils

Test 8 of 8

DIME Test ID: 2021-10-04-2-8
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: 10/14/2021
Date Tested: 10/14/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) 1201034504
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 1.5 in
Bolt Length 20 in
Measurement Average 5.64 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.