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Sample Record for 2018-03-13-5

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

Project Information

Project ID: 3807 DEA: 07121844 EFIS: 0700000117 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-42.8/47.3
Work Description: CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: James Shih Structure Rep.: Matthew Remo

Sample Information

DIME Sample ID: 2018-03-13-5
TL Number from the TL Form:
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: 03/13/2018
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2018
The quantity of what the sample constitutes: 50
A brief description of the sample: 7/8 x 4 HS Bolt
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: St Louis Screw and Bolt

Material Information

Rocap Number(s): TT0099214
Heat Number(s): 10447770
Nut Mfg. Lot Number(s): 26476-6214342202
Washer Mfg. Lot Number(s): D4413
Bolt Specification: ASTM A325
Bolt Length(s): 4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: Galvanized
Diameter/Size: 7/8
Bolt Mfg. Lot Number: M4581
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes

Test Results

Test 1 of 3

DIME Test ID: 2018-03-13-5-1
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: 03/20/2018
Date Tested: 03/19/2018
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
4B0415257/8\"66378295.310A325Fred
UTM 400KIP
Temperature no data

Test 2 of 3

DIME Test ID: 2018-03-13-5-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 03/20/2018
Date Tested: 03/19/2018
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 041525
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL
Size .875 in
Bolt Length 4 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2018-03-13-5-3
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: 03/20/2018
Date Tested: 03/19/2018
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. 5A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 041525
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 SL
Size .875 in
Bolt Length 4 in
Measurement Average 2.79 mils