Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994119 DEA: 033H3904 EFIS: 0317000340
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-22.4
Work Description: STRUCTURAL STEEL BRIDGE AND PRESTRESS STEEL GIRDERS.
Location Description: SACRAMENTO COUNTY IN SACRAMENTO AT THE SOUTH CONNECTOR UNDERCROSSING (BRIDGE NO. 24-0267)
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Hani Eissa Structure Rep.: Delia Muñoz
DIME Sample ID: 2024-02-14-8
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Per Request
Type of Material: SMTL TM6 - Steel Check Sample Plate
Sample Taken Date: 02/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 02/14/2024
The quantity of what the sample constitutes: One
A brief description of the sample: One 3.67" diameter puck
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 24-0267
Structure name: South Connector UC (Strengthen)
The fabricator/manufacturer/facility name: Taken from girder on structure
DIME Test ID: 2024-02-14-8-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 02/23/2024
Date Tested: 02/22/2024
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
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1
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| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1 | 1 | 0.248 | 0.048 | 57743 | 84800 | 31.8 | aauvinen |
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UTM
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67kip
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Temperature
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72 f
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