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Sample Record for 2020-09-29-10

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: 2020-09-29-10
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: 160
A brief description of the sample: 1/2" domestic HDG ASTM F436 hardened washers.
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): 219443000
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): 0420-441
Bolt Specification: NA
Bolt Length(s):
Nut Specification: NA
Washer Specification: ASTM F436
Finish: HDG
Diameter/Size: 1/2"
Bolt Mfg. Lot Number: NA
Rocap Test Requirement(s):
Lubricant Requirements(s): NA

Test Results

Test 1 of 5

DIME Test ID: 2020-09-29-10-1
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: 10/08/2020
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 0420-441
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .5 in
Bolt Length no data in
Measurement Average 4.64 mils

Test 2 of 5

DIME Test ID: 2020-09-29-10-2
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: 10/08/2020
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0420-441
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .5 in
Bolt Length no data in
Measurement Average 4.23 mils

Test 3 of 5

DIME Test ID: 2020-09-29-10-3
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: 10/08/2020
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. 1C
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0420-441
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .5 in
Bolt Length no data in
Measurement Average 4.34 mils

Test 4 of 5

DIME Test ID: 2020-09-29-10-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/08/2020
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 0420-441
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 39.5
Spacing Ok

Test 5 of 5

DIME Test ID: 2020-09-29-10-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 10/08/2020
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. 1B
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 0420-441
Finish Coating ASTM F2329 - Hot Dip
Product Markings TSI F436
Size .5 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 42
Spacing Ok