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Sample Record for 2023-01-26-22

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

Project Information

Project ID: 210037 DEA: 043G4424 EFIS: 0412000042 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-R5.6/7.6
Work Description: WEST SPAN DAMPER BRACKET A325 BOLT TESTING
Location Description: SFOBB WEST SPAN
Contractor Name: CALIFORNIA ENGINEERING CONTRACTORS, INC.
Contractor Address: 20 Happy Valley Road, Pleasanton, CA 94566
Resident Engineer: Tom Larwin Structure Rep.: Sergio Gomez

Sample Information

DIME Sample ID: 2023-01-26-22
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: 01/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/27/2023
The quantity of what the sample constitutes: 50 bolts
A brief description of the sample: A325 Bolt Assemblies
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: St Louis Screw and Bolt

Material Information

Rocap Number(s):
Heat Number(s): 10755970
Nut Mfg. Lot Number(s): 473679C
Washer Mfg. Lot Number(s): 0921-979
Bolt Specification: A325
Bolt Length(s): 2-1/2"
Nut Specification: A563
Washer Specification: F436
Finish: Plain
Diameter/Size: 1"
Bolt Mfg. Lot Number: 049091
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2023-01-26-22-2
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 03/23/2023
Date Tested: 02/02/2023
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1A109996Nut Proof Load
UTM 450kip
Temperature 72 f

Test 2 of 5

DIME Test ID: 2023-01-26-22-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 03/23/2023
Date Tested: 02/02/2023
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 049091
Finish Coating Plain
Product Markings A325 USA SL
Size 1 in
Bolt Length 2.5 in
Gage Type Pass

Test 3 of 5

DIME Test ID: 2023-01-26-22-4
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/23/2023
Date Tested: 02/02/2023
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 473679C
Finish Coating Plain
Product Markings DH N
Size 1 in
Gage Type Pass

Test 4 of 5

DIME Test ID: 2023-01-26-22-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/23/2023
Date Tested: 02/02/2023
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 049091
Finish Coating Plain
Product Markings A325 USA SL
Size 1 in
Bolt Length 2.5 in
Hardness Reading Scale C Scale
Hardness Reading Average 27.05
Spacing Ok

Test 5 of 5

DIME Test ID: 2023-01-26-22-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/23/2023
Date Tested: 02/02/2023
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 0921-979
Finish Coating Plain
Product Markings F436 TSI
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.13
Spacing Ok