Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211967 DEA: 101E8904 EFIS: 1016000093
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5-26.5/27.0
Work Description: REPAIR BRIDGE CROSSFRAMES.
Location Description: SAN JOAQUIN COUNTY IN STOCKTON AT STOCKTON CHANNEL VIADUCT
Contractor Name: ABHE & SVOBODA, INC.
Contractor Address: 18100 Dairy Lane, Jordan, MN 55352
Resident Engineer: Ariel Mendoza Structure Rep.: Mohsen Abdelfatah
DIME Sample ID: 2019-01-16-12
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: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 01/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2019
The quantity of what the sample constitutes: 8
A brief description of the sample: A325 HDG Rocap Assembiy
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cordova Bolt
Rocap Number(s): 304-19-4
Heat Number(s): 100890078
Nut Mfg. Lot Number(s): 411793D
Washer Mfg. Lot Number(s): 0818-936
Bolt Specification: A325
Bolt Length(s): 7-1/2"
Nut Specification: A563
Washer Specification: F436
Finish: HDG
Diameter/Size: 1"
Bolt Mfg. Lot Number: 404913
Rocap Test Requirement(s): yes
Lubricant Requirements(s): Yes
DIME Test ID: 2019-01-16-12-1
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: 01/25/2019
Date Tested: 01/25/2019
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
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | 5A | 404913A | 1\" | 87394 | 388.7 | 10 | A325 | Fred |
| |
UTM
|
400KIP
|
Temperature
|
no data
|
DIME Test ID: 2019-01-16-12-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 01/25/2019
Date Tested: 01/25/2019
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.
|
5A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
404913A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
A325 N
|
Size
|
1 in
|
Bolt Length
|
7.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2019-01-16-12-3
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: 01/25/2019
Date Tested: 01/25/2019
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.
|
5A
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
404913A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
A325 N
|
Size
|
1 in
|
Bolt Length
|
7.5 in
|
Measurement Average
|
3.69 mils
|