Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215371 DEA: 042W1204 EFIS: 0421000139
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5
Work Description: REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS
Location Description: Richmond San Rafael Bridge
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Behzad Halali Structure Rep.: William Sommer
DIME Sample ID: 2021-09-24-8
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: 09/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/27/2021
The quantity of what the sample constitutes: 149
A brief description of the sample: ASTM A490 Fastener Assy
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: RSRB
The fabricator/manufacturer/facility name: LeJeune Bolt Company
Rocap Number(s):
Heat Number(s):
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): D9196
Bolt Specification: n/a
Bolt Length(s): n/a
Nut Specification: A563
Washer Specification: n/a
Finish: Geomet
Diameter/Size: 1.125
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2021-09-24-8-1
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: 09/29/2021
Date Tested: 09/28/2021
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
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.38 mils
|
DIME Test ID: 2021-09-24-8-2
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: 09/29/2021
Date Tested: 09/28/2021
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
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.61 mils
|
DIME Test ID: 2021-09-24-8-3
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: 09/29/2021
Date Tested: 09/28/2021
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
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.62 mils
|
DIME Test ID: 2021-09-24-8-4
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: 09/29/2021
Date Tested: 09/28/2021
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.46 mils
|
DIME Test ID: 2021-09-24-8-5
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: 09/29/2021
Date Tested: 09/28/2021
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.
|
1E
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.45 mils
|
DIME Test ID: 2021-09-24-8-6
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: 09/29/2021
Date Tested: 09/28/2021
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.
|
1F
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.41 mils
|
DIME Test ID: 2021-09-24-8-7
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: 09/29/2021
Date Tested: 09/28/2021
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.
|
1G
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
0.46 mils
|
DIME Test ID: 2021-09-24-8-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/29/2021
Date Tested: 09/28/2021
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
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
39.55
|
Spacing
|
Ok
|
DIME Test ID: 2021-09-24-8-9
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/29/2021
Date Tested: 09/28/2021
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
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
40.15
|
Spacing
|
Ok
|
DIME Test ID: 2021-09-24-8-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/29/2021
Date Tested: 09/28/2021
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
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.85
|
Spacing
|
Ok
|
DIME Test ID: 2021-09-24-8-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 09/29/2021
Date Tested: 09/28/2021
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
D9196
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
P F436
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
38.55
|
Spacing
|
Ok
|