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Sample Record for 2023-08-23-23

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Project Information

Project ID: 214830 DEA: 043G6304 EFIS: 0412000409 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-4-SCl-9 -4.75/4.9
Work Description: Saratoga Creek Bridge Rehabilitation Project
Location Description: San Jose - Saratoga Creek
Contractor Name: Myers and Sons
Contractor Address: 4600 NORTHGATE BLVD, STE 100, SACRAMENTO, CA 95834
Resident Engineer: Arif Khan Structure Rep.: OANH BUI

Sample Information

DIME Sample ID: 2023-08-23-23
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: 08/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/29/2023
The quantity of what the sample constitutes: 1 lot of 174
A brief description of the sample: DH Heavy Hex Nut
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier: 37-0074
Structure name: Saratoga Creek Bridge
The fabricator/manufacturer/facility name: St. Louis Screw & Bolt

Material Information

Rocap Number(s): TT0169274
Heat Number(s): 107798600
Nut Mfg. Lot Number(s): E144K1
Washer Mfg. Lot Number(s): N/A
Bolt Specification: NA
Bolt Length(s):
Nut Specification: ASTM A563 Grade DH
Washer Specification: NA
Finish: ASTM A153/F2329 Hot Dip
Diameter/Size: 1/2"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s): YES
Lubricant Requirements(s): yes
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2023-08-23-23-1
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: 09/07/2023
Date Tested: 08/31/2023
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
1A24389Proof Load
UTM 450kip
Temperature 72 f

Test 2 of 5

DIME Test ID: 2023-08-23-23-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/07/2023
Date Tested: 08/31/2023
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 E144K1
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .5 in
Gage Type Pass

Test 3 of 5

DIME Test ID: 2023-08-23-23-3
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/07/2023
Date Tested: 08/31/2023
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) no data
Mfg. Lot Number E144K1
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .5 in
Gage Type Pass

Test 4 of 5

DIME Test ID: 2023-08-23-23-4
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: 09/07/2023
Date Tested: 08/31/2023
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 E144K1
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .5 in
Bolt Length no data in
Measurement Average 3.1 mils

Test 5 of 5

DIME Test ID: 2023-08-23-23-5
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: 09/07/2023
Date Tested: 08/31/2023
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) no data
Mfg. Lot Number E144K1
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size .5 in
Bolt Length no data in
Measurement Average 3.31 mils