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Sample Record for 2021-09-23-18

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: 2021-09-23-18
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: 200
A brief description of the sample: 3/4 x 2 3/4", A325 Rocap Assembly
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): TT0141891
Heat Number(s): 10697080, 166575, B56001
Nut Mfg. Lot Number(s): 23994-166575
Washer Mfg. Lot Number(s): D9304
Bolt Specification: A325
Bolt Length(s): 2-3/4"
Nut Specification: A563-DH
Washer Specification: F436
Finish: MG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: BM0946
Rocap Test Requirement(s): na
Lubricant Requirements(s): Wax and Dye Nuts Only

Test Results

Test 1 of 19

DIME Test ID: 2021-09-23-18-1
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: 10/14/2021
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
1BM09460.750048337215.0210.00A325fsaylor
UTM 450kip
Temperature no data

Test 2 of 19

DIME Test ID: 2021-09-23-18-2
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)
Verified Date: 10/14/2021
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: A563
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
123994-16657552808A563fsaylor
UTM 450kip
Temperature 72 f

Test 3 of 19

DIME Test ID: 2021-09-23-18-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 BM0946
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .75 in
Bolt Length 2.75 in
Gage Type Pass

Test 4 of 19

DIME Test ID: 2021-09-23-18-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 BM0946
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .75 in
Bolt Length 2.75 in
Gage Type Pass

Test 5 of 19

DIME Test ID: 2021-09-23-18-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 BM0946
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .75 in
Bolt Length 2.75 in
Gage Type Pass

Test 6 of 19

DIME Test ID: 2021-09-23-18-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 23994-166575
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .75 in
Gage Type NA

Test 7 of 19

DIME Test ID: 2021-09-23-18-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 23994-166575
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .75 in
Gage Type NA

Test 8 of 19

DIME Test ID: 2021-09-23-18-8
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 23994-166575
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .75 in
Gage Type NA

Test 9 of 19

DIME Test ID: 2021-09-23-18-9
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: 10/14/2021
Date Tested: 10/13/2021
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 BM0946
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .75 in
Bolt Length 2.75 in
Measurement Average 5.3 mils

Test 10 of 19

DIME Test ID: 2021-09-23-18-10
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: 10/14/2021
Date Tested: 10/13/2021
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 BM0946
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .75 in
Bolt Length 2.75 in
Measurement Average 4.62 mils

Test 11 of 19

DIME Test ID: 2021-09-23-18-11
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: 10/14/2021
Date Tested: 10/13/2021
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 BM0946
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size .75 in
Bolt Length 2.75 in
Measurement Average 5.31 mils

Test 12 of 19

DIME Test ID: 2021-09-23-18-12
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: 10/14/2021
Date Tested: 10/13/2021
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 23994-166575
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .75 in
Bolt Length no data in
Measurement Average 3.05 mils

Test 13 of 19

DIME Test ID: 2021-09-23-18-13
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: 10/14/2021
Date Tested: 10/13/2021
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 23994-166575
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .75 in
Bolt Length no data in
Measurement Average 3.75 mils

Test 14 of 19

DIME Test ID: 2021-09-23-18-14
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: 10/14/2021
Date Tested: 10/13/2021
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 23994-166575
Finish Coating ASTM B695 - Mech Galv
Product Markings DH U
Size .75 in
Bolt Length no data in
Measurement Average 4.76 mils

Test 15 of 19

DIME Test ID: 2021-09-23-18-15
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: 10/14/2021
Date Tested: 10/13/2021
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 D9304
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .75 in
Bolt Length no data in
Measurement Average 3.75 mils

Test 16 of 19

DIME Test ID: 2021-09-23-18-16
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: 10/14/2021
Date Tested: 10/13/2021
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 D9304
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .75 in
Bolt Length no data in
Measurement Average 3.45 mils

Test 17 of 19

DIME Test ID: 2021-09-23-18-17
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: 10/14/2021
Date Tested: 10/13/2021
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 D9304
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .75 in
Bolt Length no data in
Measurement Average 2.27 mils

Test 18 of 19

DIME Test ID: 2021-09-23-18-18
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 D9304
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.55
Spacing Ok

Test 19 of 19

DIME Test ID: 2021-09-23-18-19
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 D9304
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size .75 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.85
Spacing Ok