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Sample Record for 2017-12-11-8

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

Project Information

Project ID: 211889 DEA: 08368514 EFIS: 0813000077 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-81.1/87.5&177.3/181.1
Work Description: CONSTRUCT AIF AND DEMOLISH EXISTING AIF IN YERMO
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF YERMO ROAD OVERCROSSING TO 1.0 MILE SOUTH OF MINNEOLA ROAD OVERCROSSING AND FROM 1.2 MILE NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 38000 Monroe St, Indio, CA 92203
Resident Engineer: Darcy Davis Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2017-12-11-8
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 12/11/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/11/2017
The quantity of what the sample constitutes: 1 nut
A brief description of the sample: nut
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dyson

Material Information

Rocap Number(s):
Heat Number(s): 144801
Nut Mfg. Lot Number(s): DDRF
Washer Mfg. Lot Number(s):
Bolt Specification: NA
Bolt Length(s): Unknown
Nut Specification: A194
Washer Specification: NA
Finish: Plain
Diameter/Size: 1-1/2”
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s): None

Test Results

Test 1 of 2

DIME Test ID: 2017-12-11-8-1
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)
Verified Date: 12/19/2017
Date Tested: 12/15/2017
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
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1AS28-370-171 1/2\"2484601105.21Nut ProofBrian
UTM 400KIP
Temperature 72 F

Test 2 of 2

DIME Test ID: 2017-12-11-8-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 12/19/2017
Date Tested: 12/15/2017
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 DDRF
Finish Coating Plain
Product Markings D/N 2HDH
Size 1.5 in
Gage Type Pass