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Sample Record for 2022-08-11-3

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

Project Information

Project ID: 993301 DEA: 060U2804 EFIS: 0615000293 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-245-1.4,4.2
Work Description: PRECAST PRESTRESSED CONCRETE BOX GIRDER AND SLAB, BRIDGE REMOVAL.
Location Description: TULARE COUNTY NEAR WOODLAKE AT YOKOHL CREEK BRIDGE AND AT KAWEAH RIVER BRIDGE
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Mike Garrett Structure Rep.: Benajamin Holton

Sample Information

DIME Sample ID: 2022-08-11-3
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: 08/11/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/29/2022
The quantity of what the sample constitutes: 201
A brief description of the sample: 1/2" X 3-1/2" Carriage Bolt
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): 3089131
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: A449 Type 1
Bolt Length(s): 3-1/2"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: A449 Type 1
Rocap Test Requirement(s): na
Lubricant Requirements(s): na
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2022-08-11-3-1
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: 09/19/2022
Date Tested: 09/19/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3089131
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 0.5 in
Bolt Length 3.5 in
Measurement Average 3.36 mils

Test 2 of 6

DIME Test ID: 2022-08-11-3-2
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: 09/19/2022
Date Tested: 09/19/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 3089131
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 0.5 in
Bolt Length 3.5 in
Measurement Average 3.05 mils

Test 3 of 6

DIME Test ID: 2022-08-11-3-3
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: 09/19/2022
Date Tested: 09/19/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) 3089131
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 0.5 in
Bolt Length 3.5 in
Measurement Average 3.02 mils

Test 4 of 6

DIME Test ID: 2022-08-11-3-4
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 09/19/2022
Date Tested: 09/19/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1A
Rocap Number no data
Heat Number(s) 3089131
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 0.5 in
Bolt Length 3.5 in
Gage Type Pass

Test 5 of 6

DIME Test ID: 2022-08-11-3-5
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 09/19/2022
Date Tested: 09/19/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1B
Rocap Number no data
Heat Number(s) 3089131
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 0.5 in
Bolt Length 3.5 in
Gage Type Pass

Test 6 of 6

DIME Test ID: 2022-08-11-3-6
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 09/19/2022
Date Tested: 09/19/2022
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:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 1C
Rocap Number no data
Heat Number(s) 3089131
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings A449
Size 0.5 in
Bolt Length 3.5 in
Gage Type Pass