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Sample Record for 2022-02-22-28

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

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

Sample Information

DIME Sample ID: 2022-02-22-28
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: 25 Bolts
A brief description of the sample: 1.25 x 3.5 MG Bolts
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: LeJune Bolt Company

Material Information

Rocap Number(s):
Heat Number(s): 20372110
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A325
Bolt Length(s): 3.5"
Nut Specification: na
Washer Specification: na
Finish: B695
Diameter/Size: 1.25"
Bolt Mfg. Lot Number: BM0278
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-02-22-28-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring 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 BM0278
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size 1.25 in
Bolt Length 3.5 in
Gage Type Pass

Test 2 of 3

DIME Test ID: 2022-02-22-28-2
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 BM0278
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size 1.25 in
Bolt Length 3.5 in
Measurement Average 2.2 mils

Test 3 of 3

DIME Test ID: 2022-02-22-28-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
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 BM0278
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 USA SL
Size 1.25 in
Bolt Length 3.5 in
Hardness Reading Scale C Scale
Hardness Reading Average 25.5
Spacing Ok