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Sample Record for 2023-08-23-24

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

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: 2023-08-23-24
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: STRUCTURAL FLAT WASHER
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: Wrought Washer Mfg., Inc.

Material Information

Rocap Number(s): TT0169274
Heat Number(s): 229116
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 229116-29432
Bolt Specification: NA
Bolt Length(s):
Nut Specification: NA
Washer Specification: ASTM F436
Finish: ASTM A153/F2329 Hot Dip
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s): YES
Lubricant Requirements(s): NO
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-08-23-24-1
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: 09/07/2023
Date Tested: 09/01/2023
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 229116
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size .5 in
Bolt Length no data in
Measurement Average 2.37 mils

Test 2 of 4

DIME Test ID: 2023-08-23-24-2
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: 09/01/2023
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 229116
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size .5 in
Bolt Length no data in
Measurement Average 3.72 mils

Test 3 of 4

DIME Test ID: 2023-08-23-24-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/07/2023
Date Tested: 09/01/2023
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 229116
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 36.2
Spacing Ok

Test 4 of 4

DIME Test ID: 2023-08-23-24-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/07/2023
Date Tested: 09/01/2023
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 229116
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 35.45
Spacing Ok