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Sample Record for 2024-02-14-1

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

Project Information

Project ID: 213741 DEA: 07325704 EFIS: 0716000089 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-1.7
Work Description: BUILDING CONSTRUCTION IN LOS ANGELES COUNTY IN SANTA FE SPRINGS AT 14044 FREEWAY DRIVE.
Location Description: Santa Fe Springs, At 14044 Freeway Drive.
Contractor Name: AWI Builders Inc
Contractor Address: 7831 Paramount Bl, Pico Rivera Ca 90660
Resident Engineer: Mashhur Ali Structure Rep.: Nelson Parada

Sample Information

DIME Sample ID: 2024-02-14-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 02/16/2024
The quantity of what the sample constitutes: 135 ea.
A brief description of the sample: A325 Bolt and 3/4 heavy hex nut
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cordova Bolt Inc.

Material Information

Rocap Number(s):
Heat Number(s): Bolt 1000121211 Nut 8000017506
Nut Mfg. Lot Number(s): 471550A
Washer Mfg. Lot Number(s): N/A
Bolt Specification: ASTM F3125
Bolt Length(s): 2 1/2"
Nut Specification: ASTM A194 Class 2H
Washer Specification: N/A
Finish: Plain
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: W000059234
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2024-02-14-1-1
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 with Wedge)
Verified Date: 02/26/2024
Date Tested: 02/22/2024
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: Wedge Tensile
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
1AW0000592340.750047798212.6110.00Wedge Tensileaauvinen
UTM 450kip
Temperature no data

Test 2 of 6

DIME Test ID: 2024-02-14-1-2
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: 02/26/2024
Date Tested: 02/22/2024
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
1A58672Proof Load
UTM 400kip
Temperature 72 f

Test 3 of 6

DIME Test ID: 2024-02-14-1-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/26/2024
Date Tested: 02/22/2024
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 W000059234
Finish Coating Plain
Product Markings A325 N USA
Size 0.75 in
Bolt Length 2.5 in
Gage Type Pass

Test 4 of 6

DIME Test ID: 2024-02-14-1-4
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/26/2024
Date Tested: 02/22/2024
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 W000059234
Finish Coating Plain
Product Markings A325 N USA
Size 0.75 in
Bolt Length 2.5 in
Gage Type Pass

Test 5 of 6

DIME Test ID: 2024-02-14-1-5
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 02/26/2024
Date Tested: 02/22/2024
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 471550A
Finish Coating Plain
Product Markings 2H N
Size 0.75 in
Gage Type Pass

Test 6 of 6

DIME Test ID: 2024-02-14-1-6
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 02/26/2024
Date Tested: 02/22/2024
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 471550A
Finish Coating Plain
Product Markings 2H N
Size 0.75 in
Gage Type Pass