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Sample Record for 2018-11-01-1

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

Project Information

Project ID: 212697 DEA: 101C3004 EFIS: 1014000145 QA Service Level: 1
DIST-CO-RTE-PM: 10-STA,SJ-99-R20.9/R24.7, 0.0/6.8
Work Description: RAMP WIDENING, DRAINAGE, RAMP METERS, AND FIBER OPTIC SYSTEM.
Location Description: STANISLAUS AND SAN JOAQUIN COUNTIES FROM 0.8 MILE SOUTH OF PELANDALE AVENUE OVERCROSSING IN MODESTO TO 0.2 MILE NORTH OF THE NORTH JUNCTION ROUTE 120/99 SEPARATION IN MANTECA
Contractor Name: Bay Cities Paving & Grading, INC.
Contractor Address: 1450 Civic Court # 400, Concord, CA 94524
Resident Engineer: Chris Hanson Structure Rep.: George Samuel

Sample Information

DIME Sample ID: 2018-11-01-1
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: 11/01/2018
Date that the sample was received by the laboratory/organization performing the testing: 11/09/2018
The quantity of what the sample constitutes: 1
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AandM Nut and Bolt

Material Information

Rocap Number(s):
Heat Number(s): 58034038-02
Nut Mfg. Lot Number(s): W4624
Washer Mfg. Lot Number(s): 308856
Bolt Specification: F1554
Bolt Length(s): 55-1/2"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 2-1/4"
Bolt Mfg. Lot Number: 4386-PPO
Rocap Test Requirement(s):
Lubricant Requirements(s): yes

Test Results

Test 1 of 14

DIME Test ID: 2018-11-01-1-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
158034038-020.50.196657128988026.7Fred
UTM 67KIP
Temperature 72 f

Test 2 of 14

DIME Test ID: 2018-11-01-1-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
258034038-020.50.196676639151025.5Fred
UTM 67KIP
Temperature 72 f

Test 3 of 14

DIME Test ID: 2018-11-01-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) 58034038-02
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.25 in
Bolt Length 55.5 in
Gage Type Pass

Test 4 of 14

DIME Test ID: 2018-11-01-1-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Gage Type Pass

Test 5 of 14

DIME Test ID: 2018-11-01-1-5
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Gage Type Pass

Test 6 of 14

DIME Test ID: 2018-11-01-1-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Gage Type Pass

Test 7 of 14

DIME Test ID: 2018-11-01-1-7
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: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) 58034038-02
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings YELLOW PAINT
Size 2.25 in
Bolt Length 55.5 in
Measurement Average 5.28 mils

Test 8 of 14

DIME Test ID: 2018-11-01-1-8
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: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Bolt Length no data in
Measurement Average 4.93 mils

Test 9 of 14

DIME Test ID: 2018-11-01-1-9
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: 11/14/2018
Date Tested: 11/08/2018
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Bolt Length no data in
Measurement Average 5.1 mils

Test 10 of 14

DIME Test ID: 2018-11-01-1-10
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: 11/14/2018
Date Tested: 11/08/2018
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Bolt Length no data in
Measurement Average 3.47 mils

Test 11 of 14

DIME Test ID: 2018-11-01-1-11
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: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 308856
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 2.25 in
Bolt Length no data in
Measurement Average 4.73 mils

Test 12 of 14

DIME Test ID: 2018-11-01-1-12
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 27.77
Spacing Ok

Test 13 of 14

DIME Test ID: 2018-11-01-1-13
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number W4624
Finish Coating ASTM F2329 - Hot Dip
Product Markings LSF 2H/DH
Size 2.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 27.27
Spacing Ok

Test 14 of 14

DIME Test ID: 2018-11-01-1-14
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/14/2018
Date Tested: 11/08/2018
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 308856
Finish Coating ASTM F2329 - Hot Dip
Product Markings WS
Size 2.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.5
Spacing Ok