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Sample Record for 2023-01-23-9

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

Project Information

Project ID: 215351 DEA: 101C8004 EFIS: 1015000037 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4-0/0
Work Description: REPLACE MECHANICAL AND ELECTRICAL MOVEABLE BRIDGE EQUIPMENT.
Location Description: SAN JOAQUIN COUNTY NEAR DISCOVERY BAY AT OLD RIVER SR4 BRIDGE
Contractor Name: CALIFORNIA ENGINEERING CONTRACTORS, INC.
Contractor Address: 20 Happy Valley Road, Pleasanton, CA 94566
Resident Engineer: Ranbir Bhullar Structure Rep.: Daniel Laureno

Sample Information

DIME Sample ID: 2023-01-23-9
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 01/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/22/2023
The quantity of what the sample constitutes: 16
A brief description of the sample: 1" F436 Washer
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Technical Stamping

Material Information

Rocap Number(s):
Heat Number(s): 32236950
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 1022-516
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-01-23-9-1
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: 03/07/2023
Date Tested: 03/07/2023
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: 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 1022-516
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 TSI
Size 1 in
Bolt Length no data in
Measurement Average 2.93 mils

Test 2 of 2

DIME Test ID: 2023-01-23-9-2
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/07/2023
Date Tested: 03/07/2023
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: 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 1022-516
Finish Coating ASTM F2329 - Hot Dip
Product Markings F436 TSI
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 2.93
Spacing Ok