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Sample Record for 2021-12-30-2

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

Project Information

Project ID: 993267 DEA: 042W2804 EFIS: 0421000168 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-6.48
Work Description: Replace overhead signage and repair overhead sign structure.
Location Description: Various locations.
Contractor Name: YERBA BUENA COSNTRUCTION
Contractor Address: 1340 Egbert Ave, San Francisco, CA 94124
Resident Engineer: Bryan Nagid Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-12-30-2
TL Number from the TL Form: na
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: 12/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/07/2022
The quantity of what the sample constitutes: 549
A brief description of the sample: F1554 Anchor Bolt Hardware
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales, Inc.

Material Information

Rocap Number(s): na
Heat Number(s): 58045963
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 Grade 105
Bolt Length(s): 18"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number: 65368-1
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Test results on following page(s): 12

Test Results

Test 1 of 12

DIME Test ID: 2021-12-30-2-1
Test Method: ASTM F606-21: 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: 01/13/2022
Date Tested: 01/10/2022
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 Wedge Tensile
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
1AUNC 1 0.6068327437013741612636176575F1554 Wedge Tensile
UTM 400kip
Temperature 72

Test 2 of 12

DIME Test ID: 2021-12-30-2-2
Test Method: ASTM F606-21: 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: 01/13/2022
Date Tested: 01/10/2022
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 Wedge Tensile
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
1BUNC 1 0.6068294236813686812618776470F1554 Wedge Tensile
UTM 400kip
Temperature 72

Test 3 of 12

DIME Test ID: 2021-12-30-2-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/13/2022
Date Tested: 01/13/2022
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) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Gage Type Pass

Test 4 of 12

DIME Test ID: 2021-12-30-2-4
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/13/2022
Date Tested: 01/13/2022
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) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Gage Type Pass

Test 5 of 12

DIME Test ID: 2021-12-30-2-5
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/13/2022
Date Tested: 01/13/2022
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. 1C
Rocap Number no data
Heat Number(s) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Gage Type Pass

Test 6 of 12

DIME Test ID: 2021-12-30-2-6
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/13/2022
Date Tested: 01/13/2022
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. 1D
Rocap Number no data
Heat Number(s) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Gage Type Pass

Test 7 of 12

DIME Test ID: 2021-12-30-2-7
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/13/2022
Date Tested: 01/13/2022
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. 1E
Rocap Number no data
Heat Number(s) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Gage Type Pass

Test 8 of 12

DIME Test ID: 2021-12-30-2-8
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: 01/13/2022
Date Tested: 01/13/2022
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) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Measurement Average 3.07 mils

Test 9 of 12

DIME Test ID: 2021-12-30-2-9
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: 01/13/2022
Date Tested: 01/13/2022
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) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Measurement Average 4.37 mils

Test 10 of 12

DIME Test ID: 2021-12-30-2-10
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: 01/13/2022
Date Tested: 01/13/2022
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. 1C
Rocap Number no data
Heat Number(s) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Measurement Average 4.18 mils

Test 11 of 12

DIME Test ID: 2021-12-30-2-11
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: 01/13/2022
Date Tested: 01/13/2022
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. 1D
Rocap Number no data
Heat Number(s) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Measurement Average 3.01 mils

Test 12 of 12

DIME Test ID: 2021-12-30-2-12
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: 01/13/2022
Date Tested: 01/13/2022
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. 1E
Rocap Number no data
Heat Number(s) 58045963
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings AB105 PAB
Size 1 in
Bolt Length 18 in
Measurement Average 3.46 mils