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Sample Record for 2024-04-09-14

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

Project Information

Project ID: 993715 DEA: 010G1404 EFIS: 0116000129 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-96,169-VAR
Work Description: HUM 96-169 5 Bridges Rail Upgrade (Do not include in project name: STRUCTURAL STEEL, CONCRETE BARRIER, POLYESTER CONCRETE OVERLAY)
Location Description: HUMBOLDT COUNTY ON ROUTES 96 AND 169 AT VARIOUS LOCATIONS (Bridge Nos. 04-0215, 04-0059, 04-0063, 04-0225, 04-0061)
Contractor Name: Steelhead Constructors JV
Contractor Address: P.O. Box 536, Palo Cedro, CA 96073
Resident Engineer: Efren Banuelos Structure Rep.: Laura Cangas

Sample Information

DIME Sample ID: 2024-04-09-14
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 04/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/12/2024
The quantity of what the sample constitutes: 514 Washers
A brief description of the sample: ASTRM F436 HDG Washer
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C&K Johnson Industries

Material Information

Rocap Number(s): 471674CR
Heat Number(s): 132451
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 132451-35666
Bolt Specification: ASTM A325
Bolt Length(s):
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: ASTM F2329
Diameter/Size: 3/4
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 6

DIME Test ID: 2024-04-09-14-1
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: 04/19/2024
Date Tested: 04/18/2024
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 132451-35666
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 0.75 in
Bolt Length no data in
Measurement Average 2.4 mils

Test 2 of 6

DIME Test ID: 2024-04-09-14-2
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: 04/19/2024
Date Tested: 04/18/2024
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 132451-35666
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 0.75 in
Bolt Length no data in
Measurement Average 2.82 mils

Test 3 of 6

DIME Test ID: 2024-04-09-14-3
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: 04/19/2024
Date Tested: 04/18/2024
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 132451-35666
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 0.75 in
Bolt Length no data in
Measurement Average 2.42 mils

Test 4 of 6

DIME Test ID: 2024-04-09-14-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/19/2024
Date Tested: 04/18/2024
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 132451-35666
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 34.65
Spacing Ok

Test 5 of 6

DIME Test ID: 2024-04-09-14-5
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/19/2024
Date Tested: 04/18/2024
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 132451-35666
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 35.65
Spacing Ok

Test 6 of 6

DIME Test ID: 2024-04-09-14-6
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/19/2024
Date Tested: 04/18/2024
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 132451-35666
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 0.75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 31.65
Spacing Ok