Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994675 DEA: 07390204 EFIS: 0722000334
QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description:
Location Description:
Contractor Name: Skanska
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Sam Gallardo Structure Rep.: Sami Deeb
DIME Sample ID: 2025-03-20-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 03/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/24/2025
The quantity of what the sample constitutes: 1 Lot
A brief description of the sample: ASTM A354 Bolt Assemblies
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: Vincent Thomas Bridge
The fabricator/manufacturer/facility name: Portland Bolt
Rocap Number(s):
Heat Number(s): 223869 75078679 240155
Nut Mfg. Lot Number(s): 33544-75078679
Washer Mfg. Lot Number(s): 182725
Bolt Specification: ASTM A354
Bolt Length(s): 14-3/4"
Nut Specification: ASTM A194
Washer Specification: ASTM F436
Finish:
Diameter/Size: 1-3/8"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
DIME Test ID: 2025-03-20-2-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 03/28/2025
Date Tested: 03/27/2025
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)
|
223869
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
1.375 in
|
|
Bolt Length
|
14.75 in
|
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Pitch Diameter
|
1.2532 in
|
|
Pitch Diameter 2nd
|
no data in
|
DIME Test ID: 2025-03-20-2-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/28/2025
Date Tested: 03/27/2025
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
|
33544-75078679
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
1.375 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2025-03-20-2-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/28/2025
Date Tested: 03/27/2025
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
|
33544-75078679
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
1.375 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
31.4
|
|
Spacing
|
Ok
|
DIME Test ID: 2025-03-20-2-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/28/2025
Date Tested: 03/27/2025
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
|
182725
|
|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
|
1.375 in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
42.3
|
|
Spacing
|
Ok
|
DIME Test ID: 2025-03-20-2-5
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 03/28/2025
Date Tested: 03/27/2025
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
|
| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1A | 223869 | 1.375 | 1.155 | 146095 | 157160 | 0000 | Atlas |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
