Sample Record for 2025-04-28-5
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994358 DEA: 033J3304 EFIS: 0322000251
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-12-0/0.5
Work Description: MMBN Project. Replace backup drive system, replace lift span deck, install hydraulic barrier system and new generator, replace electrical control system, install new traffic gates and elevators, traffic control,
Location Description:
Contractor Name: Golden State Bridge, Inc.
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Ephrem Tweldeberham Structure Rep.: Rusty D'Anna
Sample Information
DIME Sample ID: 2025-04-28-5
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: 04/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2025
The quantity of what the sample constitutes: 2
A brief description of the sample: 7/8-9 x 2 ½
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: XKT Engineering
Material Information
Rocap Number(s): E367S1R
Heat Number(s): 10917500 8000030539 240419
Nut Mfg. Lot Number(s): W000195536
Washer Mfg. Lot Number(s): E7373
Bolt Specification: ASTM F3125 A325: 7/8”-9 x 2(1/2)”
Bolt Length(s): 2-1/2
Nut Specification: 7/8-9 Gr DH HVY HEX HOT DIP ASTM A563
Washer Specification: 7/8” Hot DIP ASTM F436
Finish: Plain
Diameter/Size: 7/8"
Bolt Mfg. Lot Number: E367S1
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
Test Results
Test 1 of 5
DIME Test ID: 2025-04-28-5-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 06/05/2025
Date Tested: 05/06/2025
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:
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Sample No.
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1A
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Rocap Number
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no data
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Heat Number(s)
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no data
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Mfg. Lot Number
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E367S1
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Finish Coating
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Plain
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|
Product Markings
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A325 LE USA
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Size
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0.875 in
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Bolt Length
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2.5 in
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Gage Type
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Pass
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Test 2 of 5
DIME Test ID: 2025-04-28-5-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 06/05/2025
Date Tested: 05/06/2025
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.
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1A
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Rocap Number
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no data
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Heat Number(s)
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no data
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Mfg. Lot Number
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W000195536
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Finish Coating
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Plain
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Product Markings
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DH N
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Size
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0.875 in
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Gage Type
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Pass
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Test 3 of 5
DIME Test ID: 2025-04-28-5-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/05/2025
Date Tested: 06/03/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
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1A
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|
Rocap Number
|
no data
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|
Heat Number(s)
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no data
|
|
Mfg. Lot Number
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W000195536
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|
Finish Coating
|
Plain
|
|
Product Markings
|
no data
|
|
Size
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no data in
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Bolt Length
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no data in
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Hardness Reading Scale
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C Scale
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Hardness Reading Average
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32.4
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Spacing
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Ok
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Test 4 of 5
DIME Test ID: 2025-04-28-5-4
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 06/05/2025
Date Tested: 06/03/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
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1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
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E7373
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Finish Coating
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Plain
|
|
Product Markings
|
no data
|
|
Size
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0.875 in
|
|
Bolt Length
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no data in
|
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Hardness Reading Scale
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C Scale
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Hardness Reading Average
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42.5
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Spacing
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Ok
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Test 5 of 5
DIME Test ID: 2025-04-28-5-5
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 06/05/2025
Date Tested: 06/03/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
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1
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| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | | 1A | E367S1 | 0.875 | 64390 | 0 | NA | W Torres |
| |
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UTM
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NA
|
|
Temperature
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72 f
|
