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Sample Record for 2023-05-25-6

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

Project Information

Project ID: 215421 DEA: 042K9504 EFIS: 0417000057 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-580-14.4/14.4
Work Description: CONSTRUCT MATERIAL TESTING LABORATORY BUILDING.
Location Description: ALAMEDA COUNTY IN LIVERMORE AT 2201 KITTY HAWK ROAD
Contractor Name: Walsh Construction Company II, LLC (Walsh) - Dominic Fung
Contractor Address: 1390 Willow Pass Road Suite 950, Concord, CA 94520
Resident Engineer: Amir-Fardin Sadeghi-Nedjad Structure Rep.: John Parecadan

Sample Information

DIME Sample ID: 2023-05-25-6
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: 05/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/31/2023
The quantity of what the sample constitutes: 160
A brief description of the sample: F1554 Gr 36 Anchor bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LB Construction

Material Information

Rocap Number(s): NA
Heat Number(s): 120203597961
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 Gr 36
Bolt Length(s): 19"
Nut Specification: na
Washer Specification: na
Finish: Plain
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: No Lot Number
Rocap Test Requirement(s): no
Lubricant Requirements(s): no

Test Results

Test 1 of 4

DIME Test ID: 2023-05-25-6-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 06/15/2023
Date Tested: 06/08/2023
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
11202035979610.4990.196481597134630.6aauvinen
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2023-05-25-6-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 06/15/2023
Date Tested: 06/08/2023
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
21202035979610.5010.197485617153832.7aauvinen
UTM 67kip
Temperature 72 f

Test 3 of 4

DIME Test ID: 2023-05-25-6-3
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 06/15/2023
Date Tested: 06/15/2023
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) 120203597961
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE
Size 0.875 in
Bolt Length 19 in
Pitch Diameter .788 in
Pitch Diameter 2nd .788 in

Test 4 of 4

DIME Test ID: 2023-05-25-6-4
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 06/15/2023
Date Tested: 06/15/2023
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. 1B
Rocap Number no data
Heat Number(s) 120203597961
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE
Size 0.875 in
Bolt Length 19 in
Pitch Diameter .791 in
Pitch Diameter 2nd .791 in