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Sample Record for 2022-09-23-7

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

Project Information

Project ID: 215317 DEA: 101J0104 EFIS: 1018000079 QA Service Level: 1
DIST-CO-RTE-PM: 10-CAL,CAL-88,34-34.6/2.2
Work Description: Construct fuel island canopies.
Location Description: In Calaveras and Alpine counties on Route 26 at the West Point Maintenance Station and on Route 88 at the Caples Lake Maintenance Station.
Contractor Name: CAL ELECTRO, INC. - Valerie Jenkins
Contractor Address: 3710 Electro Way, Redding, CA 96002
Resident Engineer: Pawan Garg Structure Rep.: Brandon Thurber

Sample Information

DIME Sample ID: 2022-09-23-7
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: 09/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2022
The quantity of what the sample constitutes: 96
A brief description of the sample: 1.25" F436 Washer
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s): 22133180
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 1121-128
Bolt Specification: 1554 gr 36
Bolt Length(s):
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 1.25
Bolt Mfg. Lot Number:
Rocap Test Requirement(s): no
Lubricant Requirements(s):
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-09-23-7-1
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: 10/04/2022
Date Tested: 10/04/2022
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 1121-128
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 TSI
Size 1.25 in
Bolt Length no data in
Measurement Average 2.62 mils

Test 2 of 4

DIME Test ID: 2022-09-23-7-2
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: 10/04/2022
Date Tested: 10/04/2022
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 1121-128
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 TSI
Size 1.25 in
Bolt Length no data in
Measurement Average 3.56 mils

Test 3 of 4

DIME Test ID: 2022-09-23-7-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/04/2022
Date Tested: 10/04/2022
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 1121-128
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 TSI
Size 1.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.5
Spacing Ok

Test 4 of 4

DIME Test ID: 2022-09-23-7-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/04/2022
Date Tested: 10/04/2022
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 1121-128
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 TSI
Size 1.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 37.3
Spacing Ok