Sample Record for 2018-05-03-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211803 DEA: 120M6104 EFIS: 1212000121
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-55,57,91-17.5/17.9;15.2/16.0;5.8/6.8;8.7/R9.5
Work Description: INSTALL ADDITIONAL LIGHTING AT SEPARATIONS AND UPGRADE GUARDRAIL
Location Description: ORANGE COUNTY IN ANAHEIM ON ROUTES 55, 57, 91 AT ROUTE 91/57 SEPARATION AND ROUTE 91/55 SEPARATION
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Moussa Essayli Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2018-05-03-1
TL Number from the TL Form: Unknown
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: 05/03/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/07/2018
The quantity of what the sample constitutes: 3
A brief description of the sample: 2 1/2 x 4-5 anchor bolt
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: UIS
Material Information
Rocap Number(s): n/a
Heat Number(s): PL16108459
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): n/a
Bolt Specification: F1554 Gr.55
Bolt Length(s): 4'-5"
Nut Specification: n/a
Washer Specification: n/a
Finish: HDG/plain
Diameter/Size: 2 1/2" x 4'-5"
Bolt Mfg. Lot Number: PL1610845901
Rocap Test Requirement(s): none
Lubricant Requirements(s): none
Test Results
Test 1 of 8
DIME Test ID: 2018-05-03-1-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 05/09/2018
Date Tested: 05/09/2018
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:
|
Number of Samples
|
1
|
| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1 | PL16108459 | 0.504 | 0.2 | 59015 | 82290 | 29.4 | Brian |
| |
|
UTM
|
67KIP
|
|
Temperature
|
72 f
|
Test 2 of 8
DIME Test ID: 2018-05-03-1-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 05/09/2018
Date Tested: 05/09/2018
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:
|
Number of Samples
|
1
|
| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 2 | PL16108459 | 0.502 | 0.198 | 59157 | 81860 | 31.3 | Brian |
| |
|
UTM
|
67KIP
|
|
Temperature
|
72 f
|
Test 3 of 8
DIME Test ID: 2018-05-03-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/09/2018
Date Tested: 05/09/2018
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
|
no data
|
|
Heat Number(s)
|
PL16108459
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain and ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW PAINT
|
|
Size
|
2.5 in
|
|
Bolt Length
|
53 in
|
|
Gage Type
|
Pass
|
Test 4 of 8
DIME Test ID: 2018-05-03-1-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/09/2018
Date Tested: 05/09/2018
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
PL16108459
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain and ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW PAINT
|
|
Size
|
2.5 in
|
|
Bolt Length
|
53 in
|
|
Gage Type
|
Pass
|
Test 5 of 8
DIME Test ID: 2018-05-03-1-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/09/2018
Date Tested: 05/09/2018
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.
|
1C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
PL16108459
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain and ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW PAINT
|
|
Size
|
2.5 in
|
|
Bolt Length
|
53 in
|
|
Gage Type
|
Pass
|
Test 6 of 8
DIME Test ID: 2018-05-03-1-6
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: 05/09/2018
Date Tested: 05/09/2018
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
|
no data
|
|
Heat Number(s)
|
PL16108459
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain and ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW PAINT
|
|
Size
|
2.5 in
|
|
Bolt Length
|
53 in
|
|
Measurement Average
|
7.51 mils
|
Test 7 of 8
DIME Test ID: 2018-05-03-1-7
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: 05/09/2018
Date Tested: 05/09/2018
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.
|
1B
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
PL16108459
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain and ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW PAINT
|
|
Size
|
2.5 in
|
|
Bolt Length
|
53 in
|
|
Measurement Average
|
6.74 mils
|
Test 8 of 8
DIME Test ID: 2018-05-03-1-8
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: 05/09/2018
Date Tested: 05/09/2018
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.
|
1C
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
PL16108459
|
|
Mfg. Lot Number
|
no data
|
|
Finish Coating
|
Plain and ASTM F2329 - Hot Dip
|
|
Product Markings
|
YELLOW PAINT
|
|
Size
|
2.5 in
|
|
Bolt Length
|
53 in
|
|
Measurement Average
|
6.56 mils
|
