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Sample Record for 2023-07-17-21

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

Project Information

Project ID: 215240 DEA: 021H6804 EFIS: 0216000010 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-39/41.9
Work Description: SB Cottonwood Scales
Location Description:
Contractor Name: McCuen Construction, Inc.
Contractor Address: 3269 Swetzer Road, Loomis, CA,95690
Resident Engineer: Edward Worden Structure Rep.: Chris Brace

Sample Information

DIME Sample ID: 2023-07-17-21
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/17/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2023
The quantity of what the sample constitutes: 24
A brief description of the sample: Nuts and All Thread
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 52-08W0001L
Structure name: SB Cottonwood Scales
The fabricator/manufacturer/facility name: Metal Works

Material Information

Rocap Number(s): N/A
Heat Number(s): 440522-ATR 212315-Nut
Nut Mfg. Lot Number(s): 34667-212315
Washer Mfg. Lot Number(s): N/A
Bolt Specification: ASTM 1554-36
Bolt Length(s):
Nut Specification: ASTM A563 Gr. DH
Washer Specification: N/A
Finish: HDG
Diameter/Size: 5/8"
Bolt Mfg. Lot Number: 2303061-21A
Rocap Test Requirement(s):
Lubricant Requirements(s): Yes
Test results on following page(s): 7

Test Results

Test 1 of 7

DIME Test ID: 2023-07-17-21-1
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: 08/16/2023
Date Tested: 08/11/2023
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: 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
1A38041Proof Load
UTM 450kip
Temperature 72 f

Test 2 of 7

DIME Test ID: 2023-07-17-21-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 08/16/2023
Date Tested: 08/15/2023
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
14405220.3480.095627418493825.4aauvinen
UTM 67kip
Temperature 72 f

Test 3 of 7

DIME Test ID: 2023-07-17-21-3
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 08/16/2023
Date Tested: 08/15/2023
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
24405220.3470.095640898530124.2aauvinen
UTM 67kip
Temperature 72 f

Test 4 of 7

DIME Test ID: 2023-07-17-21-4
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/16/2023
Date Tested: 08/16/2023
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) 440522
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .625 in
Bolt Length 15 in
Gage Type Pass

Test 5 of 7

DIME Test ID: 2023-07-17-21-5
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/16/2023
Date Tested: 08/16/2023
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 34667-212315
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .625 in
Gage Type Pass

Test 6 of 7

DIME Test ID: 2023-07-17-21-6
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: 08/16/2023
Date Tested: 08/16/2023
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) 440522
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .625 in
Bolt Length 15 in
Measurement Average 9.22 mils

Test 7 of 7

DIME Test ID: 2023-07-17-21-7
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: 08/16/2023
Date Tested: 08/16/2023
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 34667-212315
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size .625 in
Bolt Length no data in
Measurement Average 3.34 mils