Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2017-04-05-7
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: 04/05/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/05/2017
The quantity of what the sample constitutes: 300
A brief description of the sample: 1 x 7 bolt assembly
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Bolt
Rocap Number(s): L1412083
Heat Number(s): 10447820
Nut Mfg. Lot Number(s): 24618-166642
Washer Mfg. Lot Number(s): D2553
Bolt Specification: A325
Bolt Length(s): 6 1/2"
Nut Specification: A563
Washer Specification: F436
Finish: MG
Diameter/Size: 1"
Bolt Mfg. Lot Number: 773632Z
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2017-04-05-7-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/11/2017
Date Tested: 04/06/2017
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.
|
4A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2017-04-05-7-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/11/2017
Date Tested: 04/06/2017
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.
|
4B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2017-04-05-7-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/11/2017
Date Tested: 04/06/2017
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.
|
4C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2017-04-05-7-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/11/2017
Date Tested: 04/06/2017
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.
|
4D
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2017-04-05-7-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/11/2017
Date Tested: 04/06/2017
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.
|
4E
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2017-04-05-7-6
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: 04/11/2017
Date Tested: 04/06/2017
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.
|
4A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Measurement Average
|
3.47 mils
|
DIME Test ID: 2017-04-05-7-7
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: 04/11/2017
Date Tested: 04/06/2017
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.
|
4B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Measurement Average
|
3.3 mils
|
DIME Test ID: 2017-04-05-7-8
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: 04/11/2017
Date Tested: 04/06/2017
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.
|
4C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Measurement Average
|
2.97 mils
|
DIME Test ID: 2017-04-05-7-9
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: 04/11/2017
Date Tested: 04/06/2017
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.
|
4D
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Measurement Average
|
6.09 mils
|
DIME Test ID: 2017-04-05-7-10
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: 04/11/2017
Date Tested: 04/06/2017
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.
|
4E
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
1 in
|
|
Bolt Length
|
7 in
|
|
Measurement Average
|
3.49 mils
|
DIME Test ID: 2017-04-05-7-11
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/11/2017
Date Tested: 04/11/2017
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.
|
4A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
30.7
|
|
Spacing
|
Ok
|
DIME Test ID: 2017-04-05-7-12
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/11/2017
Date Tested: 04/11/2017
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.
|
4B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
27.95
|
|
Spacing
|
Ok
|
DIME Test ID: 2017-04-05-7-13
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 04/11/2017
Date Tested: 04/11/2017
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.
|
4C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
773632Z
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
A325 LE USA
|
|
Size
|
no data in
|
|
Bolt Length
|
no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
30.6
|
|
Spacing
|
Ok
|
