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Sample Record for 2021-10-28-5

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

Project Information

Project ID: 215371 DEA: 042W1204 EFIS: 0421000139 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-580-6.9/7.8
Work Description: REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS
Location Description: Richmond San Rafael Bridge
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Behzad Halali Structure Rep.: David Quintana

Sample Information

DIME Sample ID: 2021-10-28-5
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/03/2021
The quantity of what the sample constitutes: 50
A brief description of the sample: ASTM F3125 Gr A325 Type 1
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: Richmond San Rafael Bridge
The fabricator/manufacturer/facility name: LeJeune Bolt Company

Material Information

Rocap Number(s): L1414551
Heat Number(s): 10638020
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): n/a
Bolt Specification: ASTM F3125 A325-1 MG
Bolt Length(s): 3.75 inch
Nut Specification: n/a
Washer Specification: n/a
Finish: Mech Galv
Diameter/Size: 1 inch
Bolt Mfg. Lot Number: L416P1
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 3

DIME Test ID: 2021-10-28-5-1
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: 11/08/2021
Date Tested: 11/04/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A325
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
1L416P11.000090853404.1310.00A325fsaylor
UTM 450kip
Temperature no data

Test 2 of 3

DIME Test ID: 2021-10-28-5-2
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: 11/04/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 L416P1
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE USA
Size 1 in
Bolt Length 3.75 in
Gage Type Pass

Test 3 of 3

DIME Test ID: 2021-10-28-5-3
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: 11/08/2021
Date Tested: 11/04/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 L416P1
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 LE USA
Size 1 in
Bolt Length 3.75 in
Measurement Average 4 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.