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Sample Record for 2022-03-21-6

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

Project Information

Project ID: 214099 DEA: 024F5904 EFIS: 0213000010 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-R25.4
Work Description: BRIDGE SEISMIC RETROFIT AND SCOUR REPAIR.
Location Description: TEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Mike Z'denek Structure Rep.: Ryan Duran

Sample Information

DIME Sample ID: 2022-03-21-6
TL Number from the TL Form:
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: 03/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/06/2022
The quantity of what the sample constitutes: 43 fastener assemblies
A brief description of the sample: 7/8" x 4 1/4" A325 HDG fastenersh nuts and washers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 08-0095 R/L
Structure name: Sacramento River Bridge- I5
The fabricator/manufacturer/facility name: C&K Johnson

Material Information

Rocap Number(s): L838R1R
Heat Number(s): Bolt 10654170 nut- 8000008883 washer 12021060
Nut Mfg. Lot Number(s): 458829A
Washer Mfg. Lot Number(s): D9779
Bolt Specification: A325
Bolt Length(s): 4 1/4"
Nut Specification: A563 dh
Washer Specification: F436
Finish: HDGalv
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: L838R1
Rocap Test Requirement(s): yes
Lubricant Requirements(s): yes

Test Results

Test 1 of 8

DIME Test ID: 2022-03-21-6-1
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 (Proof Load with Wedge)
Verified Date: 04/21/2022
Date Tested: 04/18/2022
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: A325 Wedge Tensile
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
1AL838R10.875070536313.7610.00A325 Wedge Tensilespaine
UTM 450kip
Temperature no data

Test 2 of 8

DIME Test ID: 2022-03-21-6-2
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 (Proof Load)
Verified Date: 04/21/2022
Date Tested: 04/19/2022
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1A458829A72492Nut Proof Loadspaine
UTM 450kip
Temperature 72 f

Test 3 of 8

DIME Test ID: 2022-03-21-6-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/21/2022
Date Tested: 04/20/2022
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 L838R1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .875 in
Bolt Length 4.25 in
Gage Type Pass

Test 4 of 8

DIME Test ID: 2022-03-21-6-4
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 04/21/2022
Date Tested: 04/20/2022
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 458829A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .875 in
Gage Type Pass

Test 5 of 8

DIME Test ID: 2022-03-21-6-5
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: 04/21/2022
Date Tested: 04/20/2022
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 L838R1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .875 in
Bolt Length 4.25 in
Measurement Average 2.12 mils

Test 6 of 8

DIME Test ID: 2022-03-21-6-6
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: 04/21/2022
Date Tested: 04/20/2022
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 458829A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size .875 in
Bolt Length no data in
Measurement Average 2.15 mils

Test 7 of 8

DIME Test ID: 2022-03-21-6-7
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: 04/21/2022
Date Tested: 04/20/2022
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 D9779
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size .875 in
Bolt Length no data in
Measurement Average 2.13 mils

Test 8 of 8

DIME Test ID: 2022-03-21-6-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/21/2022
Date Tested: 04/20/2022
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 D9779
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size .875 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.8
Spacing Ok