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Sample Record for 2017-07-28-15

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

Project Information

Project ID: 210580 DEA: 022E8004 EFIS: 0200000603 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-R7.2
Work Description: RECONSTRUCTION OF THE DUNSMUIR COMMERCIAL VEHICLE ENFORCEMENT FACILITY
Location Description: IN SISKIYOU COUNTY NEAR DUNSMUIR ATDUNSMUIR GRADE COMMERCIAL VEHICLE ENFORCEMENT FACILITY.
Contractor Name: RANDY HILL CONSTRUCTION, INC
Contractor Address: 5237 Mallard Estates Rd., Chico, CA 95973
Resident Engineer: Nicole Mallory Structure Rep.: Andrew J (Andy) Osullivan

Sample Information

DIME Sample ID: 2017-07-28-15
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 07/31/2017
The quantity of what the sample constitutes: 33
A brief description of the sample: F1554 anchor bolt
From where was the sample collected: Fabricator
Laboratory sample identification: S08-016-17
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BSMI

Material Information

Rocap Number(s):
Heat Number(s): 376816, 144917, 16205649
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: none
Bolt Length(s): 12'', 33'', 25-1/2''
Nut Specification: none
Washer Specification: none
Finish: plain
Diameter/Size: 3/4, 1''
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 9

DIME Test ID: 2017-07-28-15-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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
11449170.4980.195581817836030.9Fred
UTM 67KIP
Temperature 72 f

Test 2 of 9

DIME Test ID: 2017-07-28-15-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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
21449170.4970.194565767785032.9Fred
UTM 67KIP
Temperature 72 f

Test 3 of 9

DIME Test ID: 2017-07-28-15-3
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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
3PL162056490.4980.195577827996031.9Fred
UTM 67KIP
Temperature 72 f

Test 4 of 9

DIME Test ID: 2017-07-28-15-4
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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
4PL162056490.4990.196589908039031.9Fred
UTM 67KIP
Temperature 72 f

Test 5 of 9

DIME Test ID: 2017-07-28-15-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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) 376816
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE PAINT
Size .750 in
Bolt Length 12 in
Gage Type Fail (No Go)

Test 6 of 9

DIME Test ID: 2017-07-28-15-6
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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. 2A
Rocap Number no data
Heat Number(s) 144917
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE PAINT
Size 1 in
Bolt Length 33 in
Gage Type Pass

Test 7 of 9

DIME Test ID: 2017-07-28-15-7
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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. 2B
Rocap Number no data
Heat Number(s) 144917
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE PAINT
Size 1 in
Bolt Length 33 in
Gage Type Pass

Test 8 of 9

DIME Test ID: 2017-07-28-15-8
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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. 2C
Rocap Number no data
Heat Number(s) 144917
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE PAINT
Size 1 in
Bolt Length 33 in
Gage Type Pass

Test 9 of 9

DIME Test ID: 2017-07-28-15-9
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/04/2017
Date Tested: 08/03/2017
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. 3A
Rocap Number no data
Heat Number(s) PL16205649
Mfg. Lot Number no data
Finish Coating Plain
Product Markings BLUE PAINT
Size 1 in
Bolt Length 25 in
Gage Type Pass