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: 2022-02-22-25
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 02/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2022
The quantity of what the sample constitutes: 88 Nuts
A brief description of the sample: 1.25 MG Nuts
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LeJune Bolt Company
Rocap Number(s):
Heat Number(s): 212403
Nut Mfg. Lot Number(s): 35100-212403
Washer Mfg. Lot Number(s):
Bolt Specification: na
Bolt Length(s):
Nut Specification: A563
Washer Specification: na
Finish: B695
Diameter/Size: 1.25"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s): Blue Dye
DIME Test ID: 2022-02-22-25-1
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: 03/18/2022
Date Tested: 03/14/2022
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 | 35100-212403 | | 150454 | | Nut Proof Load | spaine |
| |
UTM
|
450kip
|
Temperature
|
72 f
|
DIME Test ID: 2022-02-22-25-2
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/18/2022
Date Tested: 03/14/2022
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
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2022-02-22-25-3
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/18/2022
Date Tested: 03/14/2022
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2022-02-22-25-4
Test Method: ASME B1.2-83r17: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 03/18/2022
Date Tested: 03/14/2022
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Gage Type
|
NA
|
DIME Test ID: 2022-02-22-25-5
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: 03/18/2022
Date Tested: 03/14/2022
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
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.21 mils
|
DIME Test ID: 2022-02-22-25-6
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: 03/18/2022
Date Tested: 03/14/2022
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.
|
1B
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.14 mils
|
DIME Test ID: 2022-02-22-25-7
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: 03/18/2022
Date Tested: 03/14/2022
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.
|
1C
|
Rocap Number
|
no data
|
Heat Number(s)
|
no data
|
Mfg. Lot Number
|
35100-212403
|
Finish Coating
|
ASTM B695 - Mech Galv
|
Product Markings
|
DH U
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.15 mils
|