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Sample Record for 2020-12-23-1

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

Project Information

Project ID: 214888 DEA: 120P5204 EFIS: 1215000137 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22,57-R9.4/L9.8,10.9/11.4
Work Description: REPLACE CONC BARRIER & SIGN PANEL; & MODIFY LIGHTING SYSTEM.
Location Description: ORANGE COUNTY IN ORANGE ON ROUTE 22 FROM LEWIS STREET OVERCROSSING TO 0.1 MILE WEST OF THE CITY DRIVE UNDERCROSSING AND ON ROUTE 57 FROM 0.3 MILE SOUTH OF CHAPMAN AVENUE UNDERCROSSING TO 0.4 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 26320 LESTER CIRCLE;, CORONA CA 92883
Resident Engineer: Elie Najm Structure Rep.: Bijan Ronagh-Langroodi

Sample Information

DIME Sample ID: 2020-12-23-1
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: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/23/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2021
The quantity of what the sample constitutes: 48 ea.
A brief description of the sample: Anchor Bolt Assembly
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: EDSCO

Material Information

Rocap Number(s):
Heat Number(s): 3101507
Nut Mfg. Lot Number(s): XYY2 HDG Nut XSF2 Plain Nut
Washer Mfg. Lot Number(s): 6186
Bolt Specification: F1554 Gr55
Bolt Length(s): 4'-4"
Nut Specification: A194 Grade 2H
Washer Specification: F436
Finish:
Diameter/Size: 3"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 14

DIME Test ID: 2020-12-23-1-1
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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) 3101507
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 3 in
Bolt Length 52 in
Pitch Diameter 2.834 in
Pitch Diameter 2nd no data in

Test 2 of 14

DIME Test ID: 2020-12-23-1-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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) 3101507
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 3 in
Bolt Length 52 in
Gage Type Pass

Test 3 of 14

DIME Test ID: 2020-12-23-1-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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 XYY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2H D/N
Size 3 in
Gage Type Pass

Test 4 of 14

DIME Test ID: 2020-12-23-1-4
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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) 3101507
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 3 in
Bolt Length 52 in
Measurement Average 6.02 mils

Test 5 of 14

DIME Test ID: 2020-12-23-1-5
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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 XYY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2H D/N
Size 3 in
Bolt Length no data in
Measurement Average 5.16 mils

Test 6 of 14

DIME Test ID: 2020-12-23-1-6
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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 XSF2
Finish Coating Plain
Product Markings 2H D/N
Size 3 in
Bolt Length no data in
Measurement Average 0 mils

Test 7 of 14

DIME Test ID: 2020-12-23-1-7
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 01/06/2021
Date Tested: 01/04/2021
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 XSF2
Finish Coating Plain
Product Markings 2H D/N
Size 3 in
Bolt Length no data in
Measurement Average 0 mils

Test 8 of 14

DIME Test ID: 2020-12-23-1-8
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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
1A31015070.5060.201656929251725.6fsaylor
UTM 67kip
Temperature 72 f

Test 9 of 14

DIME Test ID: 2020-12-23-1-9
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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
1B31015070.5070.202657959279325.3fsaylor
UTM 67kip
Temperature 72 f

Test 10 of 14

DIME Test ID: 2020-12-23-1-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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 XYY2
Finish Coating ASTM F2329 - Hot Dip
Product Markings 2H D/N
Size 3.0 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 22.1
Spacing Ok

Test 11 of 14

DIME Test ID: 2020-12-23-1-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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 XSF2
Finish Coating Plain
Product Markings 2H D/N
Size 3.0 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 21.07
Spacing Ok

Test 12 of 14

DIME Test ID: 2020-12-23-1-12
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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 XSF2
Finish Coating Plain
Product Markings 2H D/N
Size 3.0 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 21.38
Spacing Ok

Test 13 of 14

DIME Test ID: 2020-12-23-1-13
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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 6186
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 3.0 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.55
Spacing Ok

Test 14 of 14

DIME Test ID: 2020-12-23-1-14
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 01/06/2021
Date Tested: 01/05/2021
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 6186
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 3.0 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.55
Spacing Ok