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Sample Record for 2021-12-13-6

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-12-13-6
TL Number from the TL Form: L133-134-21
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/13/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2021
The quantity of what the sample constitutes: (1088) 5/8" Ø ASTM F-436 Flat Washer HDG
A brief description of the sample: (12) 5/8" Ø ASTM F-436 Flat Washer HDG
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A&M Bolt and Nut

Material Information

Rocap Number(s):
Heat Number(s): 218661
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): E1907
Bolt Specification: N/A
Bolt Length(s):
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: MG
Diameter/Size: 5/8"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2021-12-13-6-1
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
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 E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Measurement Average 3.17 mils

Test 2 of 8

DIME Test ID: 2021-12-13-6-2
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
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 E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Measurement Average 3.18 mils

Test 3 of 8

DIME Test ID: 2021-12-13-6-3
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
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 E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Measurement Average 3.08 mils

Test 4 of 8

DIME Test ID: 2021-12-13-6-4
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Measurement Average 3.01 mils

Test 5 of 8

DIME Test ID: 2021-12-13-6-5
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Measurement Average 3.17 mils

Test 6 of 8

DIME Test ID: 2021-12-13-6-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
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 E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.1
Spacing Ok

Test 7 of 8

DIME Test ID: 2021-12-13-6-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
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 E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.3
Spacing Ok

Test 8 of 8

DIME Test ID: 2021-12-13-6-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/22/2021
Date Tested: 12/21/2021
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: 916-227-7257
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 E1907
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38
Spacing Ok