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Sample Record for 2018-02-02-12

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

Project Information

Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.0-9.4
Work Description: Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description: Port of Long Beach (District 7)
Contractor Name: Shimmick/FCC/Impregilo (SFI) JV
Contractor Address: 11 Golden Shore, Suite 330, Long Beach, CA 90802
Resident Engineer: Structure Rep.:

Sample Information

DIME Sample ID: 2018-02-02-12
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Independent Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/02/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/12/2018
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: A325 Bolt assy
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Gerald Desmond Bridge

Material Information

Rocap Number(s): 27196-10511000-RCSpecial
Heat Number(s): 10511000 6214506105 174316
Nut Mfg. Lot Number(s): 27200-6214506105
Washer Mfg. Lot Number(s): D4996
Bolt Specification: A325
Bolt Length(s): 4 1/4
Nut Specification: A563 DH
Washer Specification: F436
Finish: Mechanically Galvanized
Diameter/Size: 1"
Bolt Mfg. Lot Number: 27196-10511000
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 3

DIME Test ID: 2018-02-02-12-1
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: 02/21/2018
Date Tested: 02/20/2018
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: 916-227-7257
General Comments for this Test: A325 TC
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
12A27196-105110001\"91534407.210A325 TCBrian
UTM 400KIP
Temperature no data

Test 2 of 3

DIME Test ID: 2018-02-02-12-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/21/2018
Date Tested: 02/20/2018
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 12A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 27196-10511000
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size 1 in
Bolt Length 4.250 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2018-02-02-12-3
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: 02/21/2018
Date Tested: 02/20/2018
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: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 12A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 27196-10511000
Finish Coating ASTM B695 - Mech Galv
Product Markings A325TC USA
Size 1 in
Bolt Length 4.250 in
Measurement Average 2.29 mils