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Sample Record for 2021-09-23-14

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

Project Information

Project ID: 215394 DEA: 031H8604 EFIS: 0317000010 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-99-29.3/T37.8
Work Description: INSTALL FIBER OPTIC CABLE SYSTEMS & TRAFFIC MGMT SYSTEM ELEMENTS.
Location Description: BUTTE COUNTY IN AND NEAR CHICO AT VARIOUS LOCATIONS FROM SOUTHGATE AVENUE TO GARNER LANE
Contractor Name: ST. FRANCIS ELECTRIC
Contractor Address: 975 Carden St., San Leandro, CA 94577
Resident Engineer: Anthony Granados Structure Rep.: Justin Wood

Sample Information

DIME Sample ID: 2021-09-23-14
TL Number from the TL Form: na
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: 09/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/23/2021
The quantity of what the sample constitutes: 13
A brief description of the sample: 1-1/2" Anchor Bolt HDG
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales Inc

Material Information

Rocap Number(s): na
Heat Number(s): 30811122
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 -55
Bolt Length(s): 4-10"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1-1/2""
Bolt Mfg. Lot Number: 3081122
Rocap Test Requirement(s): na
Lubricant Requirements(s): na

Test Results

Test 1 of 4

DIME Test ID: 2021-09-23-14-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/04/2021
Date Tested: 09/30/2021
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
130811220.5010.197655889013326.8spaine
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2021-09-23-14-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 10/04/2021
Date Tested: 09/30/2021
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
230811220.5040.2646468968027.3spaine
UTM 67kip
Temperature 72 f

Test 3 of 4

DIME Test ID: 2021-09-23-14-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/04/2021
Date Tested: 09/30/2021
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) 3081122
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 1.5 in
Bolt Length 58 in
Gage Type Pass

Test 4 of 4

DIME Test ID: 2021-09-23-14-4
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: 10/04/2021
Date Tested: 09/30/2021
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) 3081122
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings YELLOW
Size 1.5 in
Bolt Length 58 in
Measurement Average 7.64 mils