Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214601 DEA: 041J5694 EFIS: 0419000313
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.0/21.8
Work Description: San Mateo US 101 Express Lanes North
Location Description:
Contractor Name: KIEWIT INFRASTRUCTURE COMPANY
Contractor Address: 1301 SHOREWAY RD, SUITE 275, BELMONT, CA 94402
Resident Engineer: Douglas Inori Structure Rep.: Tyler Pinell
DIME Sample ID: 2022-01-18-4
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: 01/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2022
The quantity of what the sample constitutes: 1 lot of 24
A brief description of the sample: 1-1/4" Heavy Hex Bolt assy
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: OHSS
The fabricator/manufacturer/facility name: Structural & Steel Products
Rocap Number(s): L635Y1R
Heat Number(s): 10710880
Nut Mfg. Lot Number(s): 368124A
Washer Mfg. Lot Number(s): D7034 E5D
Bolt Specification: ASTM F3125 A325
Bolt Length(s): 4"
Nut Specification: ASTM A563
Washer Specification: ASTM F436
Finish: ASTM B695
Diameter/Size: 1-1/4"
Bolt Mfg. Lot Number: L635Y1
Rocap Test Requirement(s): Yes
Lubricant Requirements(s): Yes
DIME Test ID: 2022-01-18-4-1
Test Method: ASTM F606-21: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)
Verified Date: 02/01/2022
Date Tested: 01/28/2022
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: Nut Proof Load
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 | 1A | 368124A | | 149986 | | Nut Proof Load | spaine |
| |
UTM
|
450kip
|
Temperature
|
72 f
|
DIME Test ID: 2022-01-18-4-2
Test Method: ASTM F606-21: 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: 02/01/2022
Date Tested: 01/28/2022
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: A325 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 | L635Y1 | 1.2500 | 133005 | 591.64 | 6.00 | A325 Wedge Tensile | spaine |
| |
UTM
|
450kip
|
Temperature
|
no data
|
DIME Test ID: 2022-01-18-4-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 02/01/2022
Date Tested: 01/31/2022
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
|
L635Y1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
A325 USA LE
|
Size
|
1.25 in
|
Bolt Length
|
4 in
|
Gage Type
|
Pass
|
DIME Test ID: 2022-01-18-4-4
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 02/01/2022
Date Tested: 01/31/2022
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
|
368124A
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH N
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2022-01-18-4-5
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: 02/01/2022
Date Tested: 01/31/2022
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
|
L635Y1
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
A325 USA LE
|
Size
|
1.25 in
|
Bolt Length
|
4 in
|
Measurement Average
|
2.44 mils
|
DIME Test ID: 2022-01-18-4-6
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: 02/01/2022
Date Tested: 01/31/2022
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
|
368124A
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH N
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.86 mils
|
DIME Test ID: 2022-01-18-4-7
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: 02/01/2022
Date Tested: 01/31/2022
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
|
D7043
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436 P
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.14 mils
|
DIME Test ID: 2022-01-18-4-8
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: 02/01/2022
Date Tested: 01/31/2022
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)
|
no data
|
Mfg. Lot Number
|
E5D
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
325 E5D 120
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
3.97 mils
|
DIME Test ID: 2022-01-18-4-9
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 02/01/2022
Date Tested: 01/31/2022
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
|
D7043
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
F436 P
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
39.95
|
Spacing
|
Ok
|