Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215351 DEA: 101C8004 EFIS: 1015000037
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4-0/0
Work Description: REPLACE MECHANICAL AND ELECTRICAL MOVEABLE BRIDGE EQUIPMENT.
Location Description: SAN JOAQUIN COUNTY NEAR DISCOVERY BAY AT OLD RIVER SR4 BRIDGE
Contractor Name: CALIFORNIA ENGINEERING CONTRACTORS, INC.
Contractor Address: 20 Happy Valley Road, Pleasanton, CA 94566
Resident Engineer: Ranbir Bhullar Structure Rep.: Daniel Laureno
DIME Sample ID: 2023-01-23-12
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 01/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/22/2023
The quantity of what the sample constitutes: 8
A brief description of the sample: 1 1/4" F436 Washer
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Technical Stamping Inc
Rocap Number(s):
Heat Number(s): NLPZ5042
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): 0522-337
Bolt Specification: na
Bolt Length(s):
Nut Specification: na
Washer Specification: F436
Finish: HDG
Diameter/Size: 1.25"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2023-01-23-12-1
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: 03/07/2023
Date Tested: 03/07/2023
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
|
0522-337
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F43CT51
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Measurement Average
|
2.22 mils
|
DIME Test ID: 2023-01-23-12-2
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 03/07/2023
Date Tested: 03/07/2023
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
|
0522-337
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
F43CT51
|
Size
|
1.25 in
|
Bolt Length
|
no data in
|
Hardness Reading Scale
|
C Scale
|
Hardness Reading Average
|
39.5
|
Spacing
|
Ok
|