Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215371 DEA: 042W1204 EFIS: 0421000139
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5
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.: William Sommer
DIME Sample ID: 2021-12-03-1
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: 12/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/03/2021
The quantity of what the sample constitutes: 61
A brief description of the sample: ASTM F3125 Gr A490-1
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Richmond San Rafael Bridge
The fabricator/manufacturer/facility name: LeJeune Bolt Company
Rocap Number(s):
Heat Number(s): 100885203
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A490
Bolt Length(s): 5.5 inch
Nut Specification: na
Washer Specification: na
Finish: Geomet Gr 3
Diameter/Size: 1-1/8 x 5-1/2 inch
Bolt Mfg. Lot Number: 389791AZ
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2021-12-03-1-1
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: 12/13/2021
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: A490 Wedge Tensile
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples
|
1
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | 1A | 389791A | 1.1250 | 133593 | 594.25 | 6.00 | A490 Wedge Tensile | spaine |
| |
UTM
|
450kip
|
Temperature
|
no data
|
DIME Test ID: 2021-12-03-1-2
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 with Wedge)
Verified Date: 12/13/2021
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: A490 Wedge Tensile
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples
|
1
|
Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Wedge Angle (deg) | Comments | Tested By | 1A | 389791A | 1.1250 | 125915 | 560.1 | 6.00 | A490 Wedge Tensile | spaine |
| |
UTM
|
450kip
|
Temperature
|
no data
|
DIME Test ID: 2021-12-03-1-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/13/2021
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)
|
no data
|
Mfg. Lot Number
|
389791A
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
A490 N
|
Size
|
1.125 in
|
Bolt Length
|
5.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-12-03-1-4
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/13/2021
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
389791A
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
A490 N
|
Size
|
1.125 in
|
Bolt Length
|
5.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-12-03-1-5
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 12/13/2021
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
389791A
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
A490 N
|
Size
|
1.125 in
|
Bolt Length
|
5.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-12-03-1-6
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: 12/13/2021
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)
|
no data
|
Mfg. Lot Number
|
389791A
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
A490 N
|
Size
|
1.125 in
|
Bolt Length
|
5.5 in
|
Measurement Average
|
0.53 mils
|
DIME Test ID: 2021-12-03-1-7
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: 12/13/2021
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
389791A
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
A490 N
|
Size
|
1.125 in
|
Bolt Length
|
5.5 in
|
Measurement Average
|
0.37 mils
|
DIME Test ID: 2021-12-03-1-8
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: 12/13/2021
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
389791A
|
Finish Coating
|
ASTM F1136 - Dachromet or Geomet
|
Product Markings
|
A490 N
|
Size
|
1.125 in
|
Bolt Length
|
5.5 in
|
Measurement Average
|
0.4 mils
|