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Sample Record for 2018-06-20-24

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: 2018-06-20-24
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Independent Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 06/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/03/2018
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: A490 Bolt assy
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LeJeune Bolt Company

Material Information

Rocap Number(s): L1412592
Heat Number(s): 10537440, 62145061, 277861
Nut Mfg. Lot Number(s): 27185-6214506106Z
Washer Mfg. Lot Number(s): D4851Z
Bolt Specification: A490
Bolt Length(s): 5-1/2"
Nut Specification: A563 DH
Washer Specification: F436
Finish: Geomet
Diameter/Size: 1-1/4" x 5-1/2"
Bolt Mfg. Lot Number: 28203-10537440Z
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 7

DIME Test ID: 2018-06-20-24-1
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: 08/02/2018
Date Tested: 07/20/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A490 Bolt
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
24A28203-10537440Z1-1/4\"157866702.26A490 BoltBrian
UTM 400KIP
Temperature no data

Test 2 of 7

DIME Test ID: 2018-06-20-24-2
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)
Verified Date: 08/02/2018
Date Tested: 07/25/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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
24A27185-6214506106Z1?\"148693661.42Nut Proof LoadBrian
UTM 400KIP
Temperature 72 F

Test 3 of 7

DIME Test ID: 2018-06-20-24-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 08/02/2018
Date Tested: 07/26/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 24A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 28203-10537440Z
Finish Coating ASTM F1136 - Dachromet or Geomet
Product Markings A490 USA
Size 1.25 in
Bolt Length 5.5 in
Gage Type Pass

Test 4 of 7

DIME Test ID: 2018-06-20-24-4
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 08/02/2018
Date Tested: 07/26/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 24A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 27185-6214506106Z
Finish Coating ASTM F1136 - Dachromet or Geomet
Product Markings U DH3
Size 1.25 in
Gage Type NA

Test 5 of 7

DIME Test ID: 2018-06-20-24-5
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: 08/02/2018
Date Tested: 07/26/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 24A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 28203-10537440Z
Finish Coating ASTM F1136 - Dachromet or Geomet
Product Markings A490 USA
Size 1.25 in
Bolt Length 5.5 in
Measurement Average 0.42 mils

Test 6 of 7

DIME Test ID: 2018-06-20-24-6
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: 08/02/2018
Date Tested: 07/26/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 24A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 27185-6214506106Z
Finish Coating ASTM F1136 - Dachromet or Geomet
Product Markings U DH3
Size 1.25 in
Bolt Length no data in
Measurement Average 0.79 mils

Test 7 of 7

DIME Test ID: 2018-06-20-24-7
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: 08/02/2018
Date Tested: 07/26/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sample No. 24A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D4851Z
Finish Coating ASTM F1136 - Dachromet or Geomet
Product Markings P F436-3
Size 1.25 in
Bolt Length no data in
Measurement Average 0.59 mils

Tests Assigned to this Sample

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