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: 2022-02-22-30
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2022
The quantity of what the sample constitutes: 50 Washers
A brief description of the sample: 1.125" MG Washers
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LeJune Bolt Company
Rocap Number(s):
Heat Number(s): X4718
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): D9060
Bolt Specification: na
Bolt Length(s):
Nut Specification: na
Washer Specification: F436
Finish: B695
Diameter/Size: 1.125"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2022-02-22-30-1
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 03/18/2022
Date Tested: 03/14/2022
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
|
D9060
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436 P
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.14 mils
|
DIME Test ID: 2022-02-22-30-2
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/18/2022
Date Tested: 03/14/2022
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
|
D9060
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436 P
|
Size
|
1.125 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
39.25
|
Spacing
|
Ok
|