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Sample Record for 2022-12-02-3

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-12-02-3
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: 12/02/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/14/2022
The quantity of what the sample constitutes: 24
A brief description of the sample: Fastners
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales

Material Information

Rocap Number(s): N/A
Heat Number(s): 58048418, 20735980,A63542
Nut Mfg. Lot Number(s): DEDR
Washer Mfg. Lot Number(s): D9415
Bolt Specification: A449
Bolt Length(s): 5"
Nut Specification: A563DH
Washer Specification: F436
Finish: MG
Diameter/Size: 1-3/4
Bolt Mfg. Lot Number: 72052-1
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 8

Test Results

Test 1 of 8

DIME Test ID: 2022-12-02-3-1
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/27/2022
Date Tested: 12/06/2022
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) 20735980
Mfg. Lot Number DEDR
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.75 in
Gage Type Pass

Test 2 of 8

DIME Test ID: 2022-12-02-3-2
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: 12/27/2022
Date Tested: 12/06/2022
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) 58048418
Mfg. Lot Number 72052-1
Finish Coating ASTM B695 - Mech Galv
Product Markings KT 449
Size 1.75 in
Bolt Length 5 in
Measurement Average 3.93 mils

Test 3 of 8

DIME Test ID: 2022-12-02-3-3
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: 12/27/2022
Date Tested: 12/06/2022
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) 20735980
Mfg. Lot Number DEDR
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.75 in
Bolt Length no data in
Measurement Average 3.03 mils

Test 4 of 8

DIME Test ID: 2022-12-02-3-4
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: 12/27/2022
Date Tested: 12/06/2022
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 D9415
Finish Coating ASTM B695 - Mech Galv
Product Markings F436
Size 1.75 in
Bolt Length no data in
Measurement Average 4.56 mils

Test 5 of 8

DIME Test ID: 2022-12-02-3-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/27/2022
Date Tested: 12/06/2022
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) 58048418
Mfg. Lot Number 72052-1
Finish Coating ASTM B695 - Mech Galv
Product Markings KT 449
Size 1.75 in
Bolt Length 5 in
Hardness Reading Scale C Scale
Hardness Reading Average 10.13
Spacing Ok

Test 6 of 8

DIME Test ID: 2022-12-02-3-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/27/2022
Date Tested: 12/06/2022
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) 20735980
Mfg. Lot Number DEDR
Finish Coating ASTM B695 - Mech Galv
Product Markings DH D/N 2H
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 24.47
Spacing Ok

Test 7 of 8

DIME Test ID: 2022-12-02-3-7
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/27/2022
Date Tested: 12/06/2022
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 D9415
Finish Coating ASTM B695 - Mech Galv
Product Markings F436
Size 1.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.83
Spacing Ok

Test 8 of 8

DIME Test ID: 2022-12-02-3-8
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 12/27/2022
Date Tested: 12/22/2022
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
172052-10.5030.1998991310727523.6svang
UTM 67KIP
Temperature 72 f