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Sample Record for 2017-10-19-2

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

Project Information

Project ID: 212468 DEA: 113A0534 EFIS: 1117000127 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-75-
Work Description:
Location Description:
Contractor Name: Traffic Development Services
Contractor Address: 207 W Los Angeles Ave. , Ste 252, Moorpark ,CA 93021
Resident Engineer: Trung Minh Tran Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-10-19-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/19/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/24/2017
The quantity of what the sample constitutes: 8
A brief description of the sample: A449 HDG Threaded Rod
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS

Material Information

Rocap Number(s):
Heat Number(s): 61524C
Nut Mfg. Lot Number(s): 23746
Washer Mfg. Lot Number(s):
Bolt Specification: A449
Bolt Length(s): 12
Nut Specification: A563 DH
Washer Specification: NA
Finish: HDG
Diameter/Size: 1
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2017-10-19-2-1
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 10/25/2017
Date Tested: 10/25/2017
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: A449 Althreaded Rod & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeArea (in^2)Peak Load (lbf)Peak Load (kN)Tensile Strength (psi)Stress at Offset (psi)Load at Offset (lbf)Comments
1AA449 1\" x 12 Althread bolt0.6068035635713260111502969707A449 Althreaded Rod & Nut
UTM 400KIP
Temperature 72

Test 2 of 5

DIME Test ID: 2017-10-19-2-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 10/25/2017
Date Tested: 10/25/2017
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: complies
Additional Comments When Verified:
Test Temperature (F) 72 °F
Sample No. 1A
Rocap Number no data
Heat Number(s) 61524C
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings no data
Size 1
Bolt Length 24
Gage Type Pass

Test 3 of 5

DIME Test ID: 2017-10-19-2-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/25/2017
Date Tested: 10/25/2017
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: complies
Additional Comments When Verified:
Test Temperature (F) 72 °F
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 23746-6214036104
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings U DH
Size 1
Gage Type Pass

Test 4 of 5

DIME Test ID: 2017-10-19-2-4
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: 10/25/2017
Date Tested: 10/25/2017
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: complies
Additional Comments When Verified:
Test Temperature (F) 72 °F
Sample No. 1A
Rocap Number no data
Heat Number(s) 61524C
Mfg. Lot Number no data
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings no data
Size 1
Bolt Length 24
Measurement Average 6.79

Test 5 of 5

DIME Test ID: 2017-10-19-2-5
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: 10/25/2017
Date Tested: 10/25/2017
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: complies
Additional Comments When Verified:
Test Temperature (F) 72 °F
Sample No. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 23746-6214036104
Finish Coating Plain and ASTM F2329 - Hot Dip
Product Markings U DH
Size 1
Bolt Length no data in
Measurement Average 5.87