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Sample Record for 2017-03-28-5

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 210041 DEA: 043G4864 EFIS: 0412000086 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-92-14.4/18.8
Work Description: CLEAN AND PAINT STRUCTURAL STEEL ON BRIDGE
Location Description: IN SAN MATEO AND ALAMEDA COUNTIES ON ROUTE 92 AT SAN MATEO HAYWARD
Contractor Name: LIBERTY MAINTENANCE, INC.
Contractor Address: 777 N. Meridian Rd., Youngstown, OH 44509
Resident Engineer: Minh Hinh Structure Rep.: Bryan Chew

Sample Information

DIME Sample ID: 2017-03-28-5
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 03/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2017
The quantity of what the sample constitutes: 1200
A brief description of the sample: 1-8 x 4 1/2 Heavy Hex bolt
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Bolt

Material Information

Rocap Number(s): L1411739
Heat Number(s): 10408400 166642 11606780
Nut Mfg. Lot Number(s): 24618-166642Z
Washer Mfg. Lot Number(s): D2553
Bolt Specification: A325
Bolt Length(s): 4 1/2"
Nut Specification: A563 DH
Washer Specification: F436
Finish: Mech Galv
Diameter/Size: 1"
Bolt Mfg. Lot Number: 761346
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 7

DIME Test ID: 2017-03-28-5-1
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)
Verified Date: 04/04/2017
Date Tested: 04/03/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
5AB362018171\"91016404.910A325Fred
UTM 400KIP
Temperature no data

Test 2 of 7

DIME Test ID: 2017-03-28-5-2
Test Method: ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)
Verified Date: 04/04/2017
Date Tested: 04/03/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
5BB362018171\"90772403.810A325Fred
UTM 400KIP
Temperature no data

Test 3 of 7

DIME Test ID: 2017-03-28-5-3
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: 04/04/2017
Date Tested: 04/04/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 5A
Rocap Number L1411739
Heat Number(s) no data
Mfg. Lot Number 761346
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1 in
Bolt Length 4.5 in
Measurement Average 2.7 mils

Test 4 of 7

DIME Test ID: 2017-03-28-5-4
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: 04/04/2017
Date Tested: 04/04/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 5B
Rocap Number L1411739
Heat Number(s) no data
Mfg. Lot Number 761346
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1 in
Bolt Length 4.5 in
Measurement Average 3.08 mils

Test 5 of 7

DIME Test ID: 2017-03-28-5-5
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: 04/04/2017
Date Tested: 04/04/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 5C
Rocap Number L1411739
Heat Number(s) no data
Mfg. Lot Number 761346
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1 in
Bolt Length 4.5 in
Measurement Average 3.02 mils

Test 6 of 7

DIME Test ID: 2017-03-28-5-6
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: 04/04/2017
Date Tested: 04/04/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 5D
Rocap Number L1411739
Heat Number(s) no data
Mfg. Lot Number 761346
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1 in
Bolt Length 4.5 in
Measurement Average 3.25 mils

Test 7 of 7

DIME Test ID: 2017-03-28-5-7
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: 04/04/2017
Date Tested: 04/04/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 5E
Rocap Number L1411739
Heat Number(s) no data
Mfg. Lot Number 761346
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1 in
Bolt Length 4.5 in
Measurement Average 3 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.