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Sample Record for 2022-04-13-58

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: 2022-04-13-58
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: 980
A brief description of the sample: F436 Washer
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Prestige Stamping

Material Information

Rocap Number(s):
Heat Number(s): A64353
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): E0179
Bolt Specification: na
Bolt Length(s):
Nut Specification: na
Washer Specification: F436
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 8

DIME Test ID: 2022-04-13-58-1
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: 05/17/2022
Date Tested: 05/16/2022
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 E0179
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 2.2 mils

Test 2 of 8

DIME Test ID: 2022-04-13-58-2
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: 05/17/2022
Date Tested: 05/16/2022
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 E0179
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 2.21 mils

Test 3 of 8

DIME Test ID: 2022-04-13-58-3
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: 05/17/2022
Date Tested: 05/16/2022
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 E0179
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 2.28 mils

Test 4 of 8

DIME Test ID: 2022-04-13-58-4
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: 05/17/2022
Date Tested: 05/16/2022
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) no data
Mfg. Lot Number E0179
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 2.23 mils

Test 5 of 8

DIME Test ID: 2022-04-13-58-5
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: 05/17/2022
Date Tested: 05/16/2022
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) no data
Mfg. Lot Number E0179
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 P
Size 1 in
Bolt Length no data in
Measurement Average 2.28 mils

Test 6 of 8

DIME Test ID: 2022-04-13-58-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/17/2022
Date Tested: 05/16/2022
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 E0179
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 40.55
Spacing Ok

Test 7 of 8

DIME Test ID: 2022-04-13-58-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/17/2022
Date Tested: 05/16/2022
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 E0179
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 41.5
Spacing Ok

Test 8 of 8

DIME Test ID: 2022-04-13-58-8
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/17/2022
Date Tested: 05/16/2022
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 E0179
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 38.65
Spacing Ok