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Sample Record for 2017-08-23-17

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

Project Information

Project ID: 212568 DEA: 022H1504 EFIS: 0216000054 MINOR: 02A1611 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-
Work Description: Yreka Wash Basin Canopy
Location Description:
Contractor Name: Timberworks
Contractor Address: 509 S Mt. Shasta Blvd, Mt. Shasta, CA 96067
Resident Engineer: Bob Thompson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-08-23-17
TL Number from the TL Form: C858191
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/23/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: F1554 Anchor Rods Nut Washers
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sasco Fasteners

Material Information

Rocap Number(s):
Heat Number(s): PL16205621
Nut Mfg. Lot Number(s): 1609141A
Washer Mfg. Lot Number(s): 112RWUS0H
Bolt Specification: F1554 Gr 36
Bolt Length(s): 30
Nut Specification: A563 Gr A
Washer Specification: NA
Finish: HDG
Diameter/Size: 1-1/8"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 12

Test Results

Test 1 of 12

DIME Test ID: 2017-08-23-17-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 09/11/2017
Date Tested: 09/11/2017
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
1PL162056210.4940.192493656990034.5Brian
UTM 67KIP
Temperature 72 f

Test 2 of 12

DIME Test ID: 2017-08-23-17-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 09/11/2017
Date Tested: 09/11/2017
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
2PL162056210.4940.192482346975034.5Brian
UTM 67KIP
Temperature 72 f

Test 3 of 12

DIME Test ID: 2017-08-23-17-3
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: 09/11/2017
Date Tested: 09/11/2017
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1AN/A1 1/8-7 Hex58797261.54Nut Proof LoadBrian
UTM 400KIP
Temperature 72 F

Test 4 of 12

DIME Test ID: 2017-08-23-17-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 09/11/2017
Date Tested: 09/11/2017
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) PL16205621
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size 1.125 in
Bolt Length 30 in
Gage Type Pass

Test 5 of 12

DIME Test ID: 2017-08-23-17-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/11/2017
Date Tested: 09/11/2017
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) no data
Mfg. Lot Number 1609141A
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Gage Type Pass

Test 6 of 12

DIME Test ID: 2017-08-23-17-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/11/2017
Date Tested: 09/11/2017
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 1609141A
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Gage Type Pass

Test 7 of 12

DIME Test ID: 2017-08-23-17-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 09/11/2017
Date Tested: 09/11/2017
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 1609141A
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Gage Type Pass

Test 8 of 12

DIME Test ID: 2017-08-23-17-8
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: 09/11/2017
Date Tested: 09/11/2017
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) PL16205621
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings BLUE PAINT
Size 1.125 in
Bolt Length 30 in
Measurement Average 3.59 mils

Test 9 of 12

DIME Test ID: 2017-08-23-17-9
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: 09/11/2017
Date Tested: 09/11/2017
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) no data
Mfg. Lot Number 1609141A
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Bolt Length no data in
Measurement Average 2.83 mils

Test 10 of 12

DIME Test ID: 2017-08-23-17-10
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: 09/11/2017
Date Tested: 09/11/2017
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 1609141A
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Bolt Length no data in
Measurement Average 3.65 mils

Test 11 of 12

DIME Test ID: 2017-08-23-17-11
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: 09/11/2017
Date Tested: 09/11/2017
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 1609141A
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Bolt Length no data in
Measurement Average 2.15 mils

Test 12 of 12

DIME Test ID: 2017-08-23-17-12
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: 09/11/2017
Date Tested: 09/11/2017
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) no data
Mfg. Lot Number 994650
Finish Coating ASTM F2329 - Hot Dip
Product Markings no data
Size 1.125 in
Bolt Length no data in
Measurement Average 2.77 mils