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Sample Record for 2019-05-10-5

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

Project Information

Project ID: 210037 DEA: 043G4424 EFIS: 0412000042 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-R5.6/7.6
Work Description: WEST SPAN DAMPER BRACKET A325 BOLT TESTING
Location Description: SFOBB WEST SPAN
Contractor Name: CALIFORNIA ENGINEERING CONTRACTORS, INC.
Contractor Address: 20 Happy Valley Road, Pleasanton, CA 94566
Resident Engineer: Tom Larwin Structure Rep.: Sergio Gomez

Sample Information

DIME Sample ID: 2019-05-10-5
TL Number from the TL Form:
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: 05/10/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2019
The quantity of what the sample constitutes: 1" dia=354; 1 1/8=18; 1 1/4- 40
A brief description of the sample: A490 Bolt assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Engineering Contractor

Material Information

Rocap Number(s): TT0113076
Heat Number(s): 10449180
Nut Mfg. Lot Number(s): 29490-188649
Washer Mfg. Lot Number(s): D6874
Bolt Specification: A490-1
Bolt Length(s): Unknown
Nut Specification: A563-DH
Washer Specification: F436-1
Finish: plain
Diameter/Size: 1 1/8"
Bolt Mfg. Lot Number: 041584
Rocap Test Requirement(s): yes
Lubricant Requirements(s):

Test Results

Test 1 of 4

DIME Test ID: 2019-05-10-5-1
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: 05/24/2019
Date Tested: 05/21/2019
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: A490
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
1A0415841.125\"126503562.76A490Steve
UTM 400KIP
Temperature no data

Test 2 of 4

DIME Test ID: 2019-05-10-5-2
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: 05/24/2019
Date Tested: 05/21/2019
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: 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
1A29490-1886491 1/8 \"141098627.64Nut Proof LoadSteve
UTM 400KIP
Temperature 72 F

Test 3 of 4

DIME Test ID: 2019-05-10-5-3
Test Method: ASME B1.2-83r01: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Verified Date: 05/24/2019
Date Tested: 05/23/2019
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number 041584
Finish Coating Plain
Product Markings A490 USA SL
Size 1.125 in
Bolt Length 9.5 in
Pitch Diameter 1.026 in
Pitch Diameter 2nd 1.026 in

Test 4 of 4

DIME Test ID: 2019-05-10-5-4
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/24/2019
Date Tested: 05/23/2019
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. 1A
Rocap Number no data
Heat Number(s) no data
Mfg. Lot Number D6874
Finish Coating Plain
Product Markings F436 P
Size 1.125 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 40.05
Spacing Ok