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Sample Record for 2022-03-25-19

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: 2022-03-25-19
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: 03/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/31/2022
The quantity of what the sample constitutes: 20
A brief description of the sample: 1-1/8x71" A354 BD ATR HDG
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: RSR Bridge
The fabricator/manufacturer/facility name: Liberty Bolt (for LeJeune)

Material Information

Rocap Number(s):
Heat Number(s): 11722380
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A354 GR BD
Bolt Length(s): 71"
Nut Specification: na
Washer Specification: na
Finish: HDG
Diameter/Size: 1.125
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-03-25-19-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/19/2022
Date Tested: 04/08/2022
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
1117223800.5030.19914642915648819.3spaine
UTM 67kip
Temperature 72 f

Test 2 of 4

DIME Test ID: 2022-03-25-19-2
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 04/19/2022
Date Tested: 04/08/2022
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:
Number of Samples 1
SampleHeat NumberDiameter (in)Area (sqin)Stress at Offset (psi)Tensile Strength (psi)Elongation in 4 x d (%)Tested By
2117223800.5030.19914818115676718spaine
UTM 67kip
Temperature 72 f

Test 3 of 4

DIME Test ID: 2022-03-25-19-3
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 04/19/2022
Date Tested: 04/11/2022
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) 11722380
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings LB BD
Size 1.125 in
Bolt Length 71 in
Gage Type Pass

Test 4 of 4

DIME Test ID: 2022-03-25-19-4
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: 04/19/2022
Date Tested: 04/11/2022
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) 11722380
Mfg. Lot Number no data
Finish Coating ASTM F2329 - Hot Dip
Product Markings LB BD
Size 1.125 in
Bolt Length 71 in
Measurement Average 2.22 mils