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Sample Record for 2017-05-16-1

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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: 2017-05-16-1
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: 05/16/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/17/2017
The quantity of what the sample constitutes: 1 lot of 40
A brief description of the sample: 1-1/4 x 9 HH MG Bolts
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): L1412154
Heat Number(s): A84067
Nut Mfg. Lot Number(s): M36297
Washer Mfg. Lot Number(s): D2602
Bolt Specification: A325
Bolt Length(s): 9"
Nut Specification: A563, Gr. DH
Washer Specification: F436
Finish: MG
Diameter/Size: 1-1/4"
Bolt Mfg. Lot Number: 093783Z
Rocap Test Requirement(s): pass
Lubricant Requirements(s): yes

Test Results

Test 1 of 7

DIME Test ID: 2017-05-16-1-1
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/22/2017
Date Tested: 05/19/2017
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. 1A
Rocap Number L1412154
Heat Number(s) no data
Mfg. Lot Number 093783
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1.25 in
Bolt Length 9 in
Gage Type Pass

Test 2 of 7

DIME Test ID: 2017-05-16-1-2
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: 05/22/2017
Date Tested: 05/19/2017
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. 1A
Rocap Number L1412154
Heat Number(s) no data
Mfg. Lot Number 093783
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE
Size 1.25 in
Bolt Length 9 in
Measurement Average 3.46 mils

Test 3 of 7

DIME Test ID: 2017-05-16-1-3
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: 05/22/2017
Date Tested: 05/19/2017
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. 1A
Rocap Number L1412154
Heat Number(s) no data
Mfg. Lot Number PW721
Finish Coating ASTM B695 - Mech Galv
Product Markings MG U
Size 1.25 in
Bolt Length no data in
Measurement Average 4.32 mils

Test 4 of 7

DIME Test ID: 2017-05-16-1-4
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: 05/22/2017
Date Tested: 05/19/2017
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. 1A
Rocap Number L1412154
Heat Number(s) no data
Mfg. Lot Number D2602
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1.25 in
Bolt Length no data in
Measurement Average 3.97 mils

Test 5 of 7

DIME Test ID: 2017-05-16-1-5
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/22/2017
Date Tested: 05/19/2017
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. 1A
Rocap Number L1412154
Heat Number(s) no data
Mfg. Lot Number D2602
Finish Coating ASTM B695 - Mech Galv
Product Markings F436 P
Size 1.25 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 42.1
Spacing Ok

Test 6 of 7

DIME Test ID: 2017-05-16-1-6
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)
Verified Date: 05/22/2017
Date Tested: 05/19/2017
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: Nut Proof Load
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1APW7211?\"147813657.51Nut Proof LoadArnold
UTM 400KIP
Temperature 71 F

Test 7 of 7

DIME Test ID: 2017-05-16-1-7
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: 05/22/2017
Date Tested: 05/19/2017
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: 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
1AB362049171-1/4\"135440602.56A325Arnold
UTM 400KIP
Temperature no data