Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2020-03-24-7
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 pieces
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
Rocap Number(s): N/A
Heat Number(s): 2YY03
Nut Mfg. Lot Number(s): N/A
Washer Mfg. Lot Number(s): 7B2C6FNB1
Bolt Specification: N/A
Bolt Length(s): N/A
Nut Specification: N/A
Washer Specification: ASTM F436
Finish: ASTM B695 Type 1 Class 55
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: N/A
Rocap Test Requirement(s): NO
Lubricant Requirements(s): NO
DIME Test ID: 2020-03-24-7-1
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.75 mils
|
DIME Test ID: 2020-03-24-7-2
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.79 mils
|
DIME Test ID: 2020-03-24-7-3
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.52 mils
|
DIME Test ID: 2020-03-24-7-4
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.02 mils
|
DIME Test ID: 2020-03-24-7-5
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.28 mils
|
DIME Test ID: 2020-03-24-7-6
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.81 mils
|
DIME Test ID: 2020-03-24-7-7
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.8 mils
|
DIME Test ID: 2020-03-24-7-8
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.06 mils
|
DIME Test ID: 2020-03-24-7-9
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.73 mils
|
DIME Test ID: 2020-03-24-7-10
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: 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.
|
1J
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.04 mils
|
DIME Test ID: 2020-03-24-7-11
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.
|
1A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
40.2
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-12
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.65
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-13
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.9
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-14
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.9
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-15
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.
|
1E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.5
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-16
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.
|
1F
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.55
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-17
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.
|
1G
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
40.25
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-18
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.
|
1H
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
39
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-19
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
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.25
|
Spacing
|
Ok
|
DIME Test ID: 2020-03-24-7-20
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.
|
1J
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
7B2C6FNB1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436
|
Size
|
.750 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.85
|
Spacing
|
Ok
|