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Sample Record for 2020-09-29-12

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

Project Information

Project ID: 215113 DEA: 021J2404 EFIS: 0220000048 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA,VAR-273,Var-Var
Work Description: PSPS Streetlight Backing plates-Steel Cantilever structure for solar panels
Location Description:
Contractor Name: CAL ELECTRO, INC.
Contractor Address: 3710 Electro Way, Redding, CA 96002
Resident Engineer: Michael Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-29-12
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: 09/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2020
The quantity of what the sample constitutes: 16
A brief description of the sample: 3/4" domestic HDG ASTM A563 hex nuts.
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Portland Bolt

Material Information

Rocap Number(s):
Heat Number(s): 10573200
Nut Mfg. Lot Number(s): 19-40-006
Washer Mfg. Lot Number(s): NA
Bolt Specification: NA
Bolt Length(s):
Nut Specification: ASTM A563
Washer Specification: NA
Finish: HDG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s):
Lubricant Requirements(s): NA

Test Results

Test 1 of 3

DIME Test ID: 2020-09-29-12-1
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: 10/07/2020
Date Tested: 10/07/2020
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: A563 B
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
119-40-00631714A563 Bfsaylor
UTM 450kip
Temperature 72 f

Test 2 of 3

DIME Test ID: 2020-09-29-12-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 10/07/2020
Date Tested: 10/07/2020
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 19-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC
Size .75 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2020-09-29-12-3
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: 10/07/2020
Date Tested: 10/07/2020
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 19-40-006
Finish Coating ASTM F2329 - Hot Dip
Product Markings DMC
Size .75 in
Bolt Length no data in
Measurement Average 3.38 mils