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Sample Record for 2023-01-04-3

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

Project Information

Project ID: 77777 DEA: STOCK-CHEM EFIS: STOCK-CHEM QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab 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: 2023-01-04-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 01/04/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2023
The quantity of what the sample constitutes: 8
A brief description of the sample: 2" F436/A153/F2329 HDG
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS Lindon UT

Material Information

Rocap Number(s):
Heat Number(s): 223229
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: XXXXX
Bolt Length(s):
Nut Specification: XXXXX
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2023-01-04-3-1
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: 01/20/2023
Date Tested: 01/12/2023
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
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 28425
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings WS
Size 2 in
Bolt Length no data in
Measurement Average 3.08 mils

Test 2 of 6

DIME Test ID: 2023-01-04-3-2
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: 01/20/2023
Date Tested: 01/12/2023
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
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 28425
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings WS
Size 2 in
Bolt Length no data in
Measurement Average 2.54 mils

Test 3 of 6

DIME Test ID: 2023-01-04-3-3
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: 01/20/2023
Date Tested: 01/12/2023
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
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 28425
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings WS
Size 2 in
Bolt Length no data in
Measurement Average 2.61 mils

Test 4 of 6

DIME Test ID: 2023-01-04-3-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/20/2023
Date Tested: 01/12/2023
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
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 28425
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings WS
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 37.2
Spacing Ok

Test 5 of 6

DIME Test ID: 2023-01-04-3-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/20/2023
Date Tested: 01/12/2023
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
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 28425
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings WS
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 37.15
Spacing Ok

Test 6 of 6

DIME Test ID: 2023-01-04-3-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/20/2023
Date Tested: 01/12/2023
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
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 28425
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings WS
Size 2 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.35
Spacing Ok