Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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.: Sami Deeb
DIME Sample ID: 2018-08-14-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 08/14/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2018
The quantity of what the sample constitutes: 3
A brief description of the sample: A449 Bolts
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Gerald Desmond Bridge
Rocap Number(s): L1412479
Heat Number(s): 16729-10205760Z
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A490
Bolt Length(s): 5.750
Nut Specification: A563
Washer Specification: F436
Finish: Galvanized
Diameter/Size: 1.250
Bolt Mfg. Lot Number: 16729-10205760Z
Rocap Test Requirement(s):
Lubricant Requirements(s): none
DIME Test ID: 2018-08-14-2-1
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: 08/21/2018
Date Tested: 08/21/2018
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: complies
Additional Comments When Verified:
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Number of Bolt Samples
|
3
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | | 79A | 16729-10205760Z | 1.25 | 153511 | 0 | 6 | Pass | Brian | | 79B | 16729-1025760Z | 1.25 | 146906 | 0 | 6 | Pass | Brian | | 79C | 16729-1025760Z | 1.25 | 145399 | 0 | 6 | Pass | Brain |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 f
|
