Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214601 DEA: 041J5694 EFIS: 0419000313
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: San Mateo US 101 Express Lanes North
Location Description:
Contractor Name: KIEWIT INFRASTRUCTURE COMPANY
Contractor Address: 1301 SHOREWAY RD, SUITE 275, BELMONT, CA 94402
Resident Engineer: Douglas Inori Structure Rep.: Tyler Pinell
DIME Sample ID: 2021-10-20-3
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: 10/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/28/2021
The quantity of what the sample constitutes: 34
A brief description of the sample: 3/4" A325 Bolt Assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Toll Reader Gantry
The fabricator/manufacturer/facility name: Structural and Steel Products
Rocap Number(s): L713M1R
Heat Number(s): 10610810
Nut Mfg. Lot Number(s): 453202A
Washer Mfg. Lot Number(s): D9288
Bolt Specification: ASTM F3125, Grade A325
Bolt Length(s): 2"
Nut Specification: F563, Gr. DH
Washer Specification: F436
Finish: MG
Diameter/Size: 3/4"
Bolt Mfg. Lot Number: L713M1
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes
DIME Test ID: 2021-10-20-3-1
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)
Verified Date: 11/08/2021
Date Tested: 11/05/2021
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
Test Result Compliance:
Additional Comments When Verified:
Number of Samples
|
1
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | 1 | 453202A | | 53113 | | Nut Proof | bewing |
| |
UTM
|
450kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-10-20-3-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/08/2021
Date Tested: 11/05/2021
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
|
L713M1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
A325 USA LE
|
Size
|
.75 in
|
Bolt Length
|
2 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-3-3
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/08/2021
Date Tested: 11/05/2021
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
|
453202A
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH N
|
Size
|
.75 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-3-4
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: 11/08/2021
Date Tested: 11/05/2021
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
|
L713M1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
A325 USA LE
|
Size
|
.75 in
|
Bolt Length
|
2 in
|
Measurement Average
|
3.58 mils
|
DIME Test ID: 2021-10-20-3-5
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: 11/08/2021
Date Tested: 11/05/2021
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
|
453202A
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH N
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.98 mils
|
DIME Test ID: 2021-10-20-3-6
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: 11/08/2021
Date Tested: 11/05/2021
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
|
D9288
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
P F436
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.69 mils
|
DIME Test ID: 2021-10-20-3-7
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/08/2021
Date Tested: 11/05/2021
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
|
L713M1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
A325 USA LE
|
Size
|
.75 in
|
Bolt Length
|
2 in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
30.82
|
Spacing
|
Ok
|
DIME Test ID: 2021-10-20-3-8
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 11/08/2021
Date Tested: 11/05/2021
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
|
D9288
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
P F436
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
40.35
|
Spacing
|
Ok
|