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Sample Record for 2022-02-21-7

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

Project Information

Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab 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: 2022-02-21-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2022
The quantity of what the sample constitutes: 195
A brief description of the sample: 1" F436 hdg
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: QFC

Material Information

Rocap Number(s):
Heat Number(s): 31645580
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): D3476
Bolt Specification: na
Bolt Length(s): na
Nut Specification: na
Washer Specification: F436
Finish: hdg
Diameter/Size: 1"
Bolt Mfg. Lot Number: na
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2022-02-21-7-1
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: 03/02/2022
Date Tested: 02/28/2022
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) no data
Mfg. Lot Number D3476
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 3.94 mils

Test 2 of 5

DIME Test ID: 2022-02-21-7-2
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: 03/02/2022
Date Tested: 02/28/2022
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) no data
Mfg. Lot Number D3476
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 4.76 mils

Test 3 of 5

DIME Test ID: 2022-02-21-7-3
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: 03/02/2022
Date Tested: 02/28/2022
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) no data
Mfg. Lot Number D3476
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 4.36 mils

Test 4 of 5

DIME Test ID: 2022-02-21-7-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/02/2022
Date Tested: 02/28/2022
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) no data
Mfg. Lot Number D3476
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 34.1
Spacing Ok

Test 5 of 5

DIME Test ID: 2022-02-21-7-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/02/2022
Date Tested: 02/28/2022
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) no data
Mfg. Lot Number D3476
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 35.45
Spacing Ok