Project Information

Project ID: 994828 DEA: 043Y4104 EFIS: 0423000232 QA Service Level: 1

DIST-CO-RTE-PM: 04-CC,SM-680-25.04/25.46, VAR/VAR

Work Description: Paint removal and non-destructive testing (NDT) on butt weld connections on T1 type steel in fracture critical members of three distinct existing toll bridge.

Location Description: Carquinez Bridge Overhead (Br. No. 23-0015R), Benicia-Martinez Bridge Overhead (Br. No. 28-0153L), and San Mateo-Hayward Bridge (Br. No. 35-0054). County = SM,CC,SOL. Route = 680,80,92.

Contractor Name: Golden State Bridge Inc.

Contractor Address: Unknown

Resident Engineer: Kingston Atako Structure Rep.: Angelo Perez

Sample Information

DIME Sample ID: 2025-06-03-15

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: 06/03/2025

Date that the sample was received by the laboratory/organization performing the testing: 06/04/2025

The quantity of what the sample constitutes: 54

A brief description of the sample: ASTM F3125 GR A325 HEAVY HEX BOLT 5/8"x1-3/4"

From where was the sample collected: Supplier

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Bay Bolt, Oakland, Ca

Material Information

Rocap Number(s): 1017-15

Heat Number(s): Bolt 1000122173 Nut 1000216350 Washer C72845

Nut Mfg. Lot Number(s): W000034072

Washer Mfg. Lot Number(s): 175013

Bolt Specification: ASTM 3125

Bolt Length(s): 1-3/4

Nut Specification: ASTM A563

Washer Specification: F436

Finish: Hot Dip Galvanized

Diameter/Size: 5/8

Bolt Mfg. Lot Number: W000115238

Rocap Test Requirement(s):

Lubricant Requirements(s):

Washer Inner Diameter(s):

Test Results

Test 1 of 2

DIME Test ID: 2025-06-03-15-1

Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)

Verified Date: 06/16/2025

Date Tested: 06/10/2025

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.	1A
Rocap Number	no data
Heat Number(s)	no data
Mfg. Lot Number	W000115238
Finish Coating	ASTM F2329 - Hot Dip
Product Markings	A325 N USA
Size	0.625 in
Bolt Length	1.75 in
Gage Type	Pass

Test 2 of 2

DIME Test ID: 2025-06-03-15-2