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Sample Record for 2021-10-28-7

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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: 2021-10-28-7
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 F436 Washer MG, 1-inch diam
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): 202539
Nut Mfg. Lot Number(s): n/a
Washer Mfg. Lot Number(s): 1120-636
Bolt Specification: n/a
Bolt Length(s):
Nut Specification: n/a
Washer Specification: ASTM F436
Finish: Mech Galv
Diameter/Size: 1 inch
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 2

DIME Test ID: 2021-10-28-7-1
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 1120-636
Finish Coating ASTM B695 - Mech Galv
Product Markings TSI F436
Size 1 in
Bolt Length no data in
Measurement Average 4.66 mils

Test 2 of 2

DIME Test ID: 2021-10-28-7-2
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
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 1120-636
Finish Coating ASTM B695 - Mech Galv
Product Markings TSI F436
Size 1 in
Bolt Length no data in
Hardness Reading Scale C Scale
Hardness Reading Average 38.7
Spacing Ok

Tests Assigned to this Sample

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