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Sample Record for 2022-04-13-57

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

Project Information

Project ID: 214402 DEA: 010E7704 EFIS: 0115000009 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-R17.9/87.8
Work Description: STRENGTHEN 2 BRIDGES.
Location Description: HUMBOLDT COUNTY AT SOUTH FORK EEL RIVER AND SEPARATION AND AT ARCATA OVERHEAD
Contractor Name: Freyssinet Inc
Contractor Address: 44880 Falcon Place, Suite 100, Sterling, VA 20166
Resident Engineer: Joaquin Rodriguez Structure Rep.: Ryan Duran

Sample Information

DIME Sample ID: 2022-04-13-57
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 04/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/26/2022
The quantity of what the sample constitutes: 274
A brief description of the sample: A563-DH HDG Nut
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: nucor

Material Information

Rocap Number(s):
Heat Number(s): 8000013480
Nut Mfg. Lot Number(s): 465436A
Washer Mfg. Lot Number(s):
Bolt Specification: na
Bolt Length(s):
Nut Specification: A563
Washer Specification: na
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 7

DIME Test ID: 2022-04-13-57-1
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)
Verified Date: 05/11/2022
Date Tested: 05/03/2022
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
1465436a94802Nut proof loadrmacias
UTM 450kip
Temperature 72 f

Test 2 of 7

DIME Test ID: 2022-04-13-57-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 465436A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1 in
Gage Type NA

Test 3 of 7

DIME Test ID: 2022-04-13-57-3
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 465436A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1 in
Gage Type NA

Test 4 of 7

DIME Test ID: 2022-04-13-57-4
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 465436A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1 in
Gage Type NA

Test 5 of 7

DIME Test ID: 2022-04-13-57-5
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: 05/11/2022
Date Tested: 05/10/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 465436A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1 in
Bolt Length no data in
Measurement Average 2.21 mils

Test 6 of 7

DIME Test ID: 2022-04-13-57-6
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: 05/11/2022
Date Tested: 05/10/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 465436A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1 in
Bolt Length no data in
Measurement Average 2.24 mils

Test 7 of 7

DIME Test ID: 2022-04-13-57-7
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: 05/11/2022
Date Tested: 05/10/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 465436A
Finish Coating ASTM F2329 - Hot Dip
Product Markings DH N
Size 1 in
Bolt Length no data in
Measurement Average 2.19 mils