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Sample Record for 2020-03-24-5

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

Project Information

Project ID: 214421 DEA: 01362704 EFIS: 0116000031 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1-62.2/R78.9
Work Description: HOT MIX ASPHALT OVERLAY.
Location Description: MENDOCINO COUNTY NEAR FORT BRAGG FROM 0.1 MILE NORTH OF PUDDING CREEK BRIDGE TO 0.6 MILE NORTH OF WAGES CREEK BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 South State Street, Ukiah, CA 95482
Resident Engineer: Roozbeh Hadipour Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-03-24-5
TL Number from the TL Form:
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: 03/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2020
The quantity of what the sample constitutes: 200
A brief description of the sample: ASTM F436 Washer
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HEXICO ENTERPRISE COMPANY

Material Information

Rocap Number(s): N/A
Heat Number(s): 1PW61
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): 882C5FNJ2
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: ASTM B695
Diameter/Size: 5/8" DIAMETER
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): no
Lubricant Requirements(s):
Test results on following page(s): 18

Test Results

Test 1 of 18

DIME Test ID: 2020-03-24-5-1
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: 04/15/2020
Date Tested: 04/14/2020
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 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.93 mils

Test 2 of 18

DIME Test ID: 2020-03-24-5-2
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: 04/15/2020
Date Tested: 04/14/2020
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 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 4 mils

Test 3 of 18

DIME Test ID: 2020-03-24-5-3
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: 04/15/2020
Date Tested: 04/14/2020
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 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.61 mils

Test 4 of 18

DIME Test ID: 2020-03-24-5-4
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: 04/15/2020
Date Tested: 04/14/2020
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.51 mils

Test 5 of 18

DIME Test ID: 2020-03-24-5-5
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: 04/15/2020
Date Tested: 04/14/2020
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.77 mils

Test 6 of 18

DIME Test ID: 2020-03-24-5-6
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: 04/15/2020
Date Tested: 04/14/2020
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. 1F
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.9 mils

Test 7 of 18

DIME Test ID: 2020-03-24-5-7
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: 04/15/2020
Date Tested: 04/14/2020
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. 1G
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.72 mils

Test 8 of 18

DIME Test ID: 2020-03-24-5-8
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: 04/15/2020
Date Tested: 04/14/2020
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. 1H
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.72 mils

Test 9 of 18

DIME Test ID: 2020-03-24-5-9
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: 04/15/2020
Date Tested: 04/14/2020
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. 1I
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Measurement Average 3.3 mils

Test 10 of 18

DIME Test ID: 2020-03-24-5-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.85
Spacing Ok

Test 11 of 18

DIME Test ID: 2020-03-24-5-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.8
Spacing Ok

Test 12 of 18

DIME Test ID: 2020-03-24-5-12
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.85
Spacing Ok

Test 13 of 18

DIME Test ID: 2020-03-24-5-13
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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. 1D
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.91
Spacing Ok

Test 14 of 18

DIME Test ID: 2020-03-24-5-14
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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. 1E
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.35
Spacing Ok

Test 15 of 18

DIME Test ID: 2020-03-24-5-15
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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. 1F
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.55
Spacing Ok

Test 16 of 18

DIME Test ID: 2020-03-24-5-16
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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. 1G
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 41.05
Spacing Ok

Test 17 of 18

DIME Test ID: 2020-03-24-5-17
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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. 1H
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.55
Spacing Ok

Test 18 of 18

DIME Test ID: 2020-03-24-5-18
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/15/2020
Date Tested: 04/14/2020
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. 1I
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 882C5FNJ2
Finish Coating ASTM B695 - Mech Galv
Product Markings no data
Size .625 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 37.5
Spacing Ok