Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214991 DEA: 044G2104 EFIS: 0412000310
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-121-0.5/1
Work Description: WIDEN ROADWAY WITH HMA & REPLACE CULVERT WITH STRUCTURAL CONC BRIDGE.
Location Description: NAPA COUNTY NEAR NAPA FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF HUICHICA CREEK BRIDGE
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: DANILO PATENIA Structure Rep.: Nana Budu
DIME Sample ID: 2021-11-30-15
TL Number from the TL Form: na
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: 11/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/20/2021
The quantity of what the sample constitutes: 147
A brief description of the sample: Anchor Bolt hardware
From where was the sample collected: Fabricator
Laboratory sample identification: na
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Universal Industrial Sales Inc
Rocap Number(s): na
Heat Number(s): 58045963
Nut Mfg. Lot Number(s): na
Washer Mfg. Lot Number(s): na
Bolt Specification: F1554 Grade 105
Bolt Length(s): 19.5"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1.0"
Bolt Mfg. Lot Number: 65088-1
Rocap Test Requirement(s): na
Lubricant Requirements(s): none
DIME Test ID: 2021-11-30-15-1
Test Method: ASTM F606-14: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Hex Cap Screws)
Verified Date: 12/10/2021
Date Tested: 12/09/2021
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: F1554 Gr 105
Test Result Compliance:
Additional Comments When Verified:
Number of Samples
|
1
|
Sample | Size | Area (in^2) | Peak Load (lbf) | Peak Load (kN) | Tensile Strength (psi) | Stress at Offset (psi) | Load at Offset (lbf) | Comments | 1 | UNC 1 | 0.606 | 85983 | 382 | 141886 | 131505 | 79692 | F1554 Gr 105 |
| |
UTM
|
400kip
|
Temperature
|
72
|
DIME Test ID: 2021-11-30-15-2
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/10/2021
Date Tested: 12/09/2021
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)
|
58045963
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
RED PAINT
|
Size
|
1 in
|
Bolt Length
|
19.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-11-30-15-3
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: 12/10/2021
Date Tested: 12/09/2021
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)
|
58045963
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
RED PAINT
|
Size
|
1 in
|
Bolt Length
|
19.5 in
|
Measurement Average
|
3.82 mils
|
DIME Test ID: 2021-11-30-15-4
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/20/2021
Date Tested: 12/20/2021
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)
|
58045963
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
RED
|
Size
|
1 in
|
Bolt Length
|
19.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-11-30-15-5
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/20/2021
Date Tested: 12/20/2021
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)
|
58045963
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
RED
|
Size
|
1 in
|
Bolt Length
|
19.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-11-30-15-6
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/20/2021
Date Tested: 12/20/2021
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)
|
58045963
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
RED
|
Size
|
1 in
|
Bolt Length
|
19.5 in
|
Measurement Average
|
2.96 mils
|
DIME Test ID: 2021-11-30-15-7
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/20/2021
Date Tested: 12/20/2021
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)
|
58045963
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
RED
|
Size
|
1 in
|
Bolt Length
|
19.5 in
|
Measurement Average
|
3.3 mils
|