Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly
DIME Sample ID: 2021-10-20-31
TL Number from the TL Form: C725809
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
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: 10/21/2021
The quantity of what the sample constitutes: 3
A brief description of the sample: F1554 Anchor Rods Nuts, Square Plate Washers Coupling Nut
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Bolt Nucor
Rocap Number(s):
Heat Number(s): 142120
Nut Mfg. Lot Number(s): 438509A
Washer Mfg. Lot Number(s): A307
Bolt Specification: F1554
Bolt Length(s): 144"
Nut Specification: A194
Washer Specification: A307
Finish: A2329
Diameter/Size: .75
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s): Green
DIME Test ID: 2021-10-20-31-1
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: 11/03/2021
Date Tested: 10/26/2021
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: A194
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 | 438509A | | 58623 | | A194 | fsaylor |
| |
UTM
|
400kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-10-20-31-2
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: 11/03/2021
Date Tested: 10/26/2021
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: A194
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 | 2 | 438509A | | 58652 | | A194 | fsaylor |
| |
UTM
|
400kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-10-20-31-3
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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:
Number of Samples
|
1
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | 1 | 142120 | 0.499 | 0.196 | 64411 | 75746 | 27.4 | fsaylor |
| |
UTM
|
67kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-10-20-31-4
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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:
Number of Samples
|
1
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | 2 | 142120 | 0.499 | 0.196 | 63333 | 75586 | 27.3 | fsaylor |
| |
UTM
|
67kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-10-20-31-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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)
|
142120
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
BLUE PAINT
|
Size
|
.75 in
|
Bolt Length
|
72 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-31-6
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-31-7
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-31-8
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-31-9
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-31-10
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/03/2021
Date Tested: 10/27/2021
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.
|
2A
|
Rocap Number
|
no data
|
Heat Number(s)
|
S11191001H
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
no data
|
Size
|
.75 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-10-20-31-11
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: 11/03/2021
Date Tested: 10/27/2021
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)
|
142120
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
BLUE PAINT
|
Size
|
.75 in
|
Bolt Length
|
72 in
|
Measurement Average
|
8.4 mils
|
DIME Test ID: 2021-10-20-31-12
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: 11/03/2021
Date Tested: 10/27/2021
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
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.94 mils
|
DIME Test ID: 2021-10-20-31-13
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: 11/03/2021
Date Tested: 10/27/2021
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.15 mils
|
DIME Test ID: 2021-10-20-31-14
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: 11/03/2021
Date Tested: 10/27/2021
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.3 mils
|
DIME Test ID: 2021-10-20-31-15
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: 11/03/2021
Date Tested: 10/27/2021
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.
|
1D
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
438509A
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
U 2H
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.71 mils
|
DIME Test ID: 2021-10-20-31-16
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: 11/03/2021
Date Tested: 10/27/2021
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.
|
2A
|
Rocap Number
|
no data
|
Heat Number(s)
|
S11191001H
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
no data
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.09 mils
|
DIME Test ID: 2021-10-20-31-17
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: 11/03/2021
Date Tested: 10/27/2021
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
|
A307
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
no data
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
6.72 mils
|
DIME Test ID: 2021-10-20-31-18
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: 11/03/2021
Date Tested: 10/27/2021
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
A307
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
no data
|
Size
|
.75 in
|
Bolt Length
|
no data in
|
Measurement Average
|
6.92 mils
|