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Sample Record for 2021-09-23-15

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: 2021-09-23-15
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: 09/30/2021
The quantity of what the sample constitutes: 1200
A brief description of the sample: 3/4" x 4-1/2" A325 HB
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): 10654140
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: A325
Bolt Length(s): 4 1/2"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: L465W1
Rocap Test Requirement(s): na
Lubricant Requirements(s): na

Test Results

Test 1 of 12

DIME Test ID: 2021-09-23-15-1
Test Method: ASTM F606-14a: 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: 10/12/2021
Date Tested: 10/11/2021
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: A325
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
1L465W10.750048606216.2110.00A325fsaylor
UTM 450kip
Temperature no data

Test 2 of 12

DIME Test ID: 2021-09-23-15-2
Test Method: ASTM F606-14a: 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: 10/12/2021
Date Tested: 10/11/2021
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: A325
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
1L465W10.750048895217.510.00A325fsaylor
UTM 450kip
Temperature no data

Test 3 of 12

DIME Test ID: 2021-09-23-15-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/12/2021
Date Tested: 10/12/2021
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 L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Gage Type Pass

Test 4 of 12

DIME Test ID: 2021-09-23-15-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/12/2021
Date Tested: 10/12/2021
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 L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Gage Type Pass

Test 5 of 12

DIME Test ID: 2021-09-23-15-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/12/2021
Date Tested: 10/12/2021
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 L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Gage Type Pass

Test 6 of 12

DIME Test ID: 2021-09-23-15-6
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/12/2021
Date Tested: 10/12/2021
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Gage Type Pass

Test 7 of 12

DIME Test ID: 2021-09-23-15-7
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/12/2021
Date Tested: 10/12/2021
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Gage Type Pass

Test 8 of 12

DIME Test ID: 2021-09-23-15-8
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: 10/12/2021
Date Tested: 10/12/2021
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 L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Measurement Average 2.3 mils

Test 9 of 12

DIME Test ID: 2021-09-23-15-9
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: 10/12/2021
Date Tested: 10/12/2021
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 L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Measurement Average 3.19 mils

Test 10 of 12

DIME Test ID: 2021-09-23-15-10
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: 10/12/2021
Date Tested: 10/12/2021
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 L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Measurement Average 3.03 mils

Test 11 of 12

DIME Test ID: 2021-09-23-15-11
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: 10/12/2021
Date Tested: 10/12/2021
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Measurement Average 3.43 mils

Test 12 of 12

DIME Test ID: 2021-09-23-15-12
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: 10/12/2021
Date Tested: 10/12/2021
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number L465W1
Finish Coating ASTM F2329 - Hot Dip
Product Markings A325 USA LE
Size .75 in
Bolt Length 4.5 in
Measurement Average 2.59 mils