Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213903 DEA: 043G4544 EFIS: 0412000054
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA,SM-92-R14.4/R18.8,R0.0/R.2.4
Work Description: Repair Spalled Concrete Columns and Spandrel Beams
Location Description: San Mateo-Hayward Bridge
Contractor Name: Golden State Bridge, Inc
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Kingston Atako Structure Rep.: Lisa Chang-Bridges
DIME Sample ID: 2023-04-18-15
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: 04/18/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/20/2023
The quantity of what the sample constitutes: 33
A brief description of the sample: A325 Bolt
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: XKT Engineering
Rocap Number(s):
Heat Number(s): 100104838
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s):
Bolt Specification: A325
Bolt Length(s): 2
Nut Specification: NA
Washer Specification: NA
Finish: HDG
Diameter/Size: 1/2
Bolt Mfg. Lot Number: 445459A
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2023-04-18-15-1
Test Method: ASME B1.2-83r17: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 05/08/2023
Date Tested: 04/24/2023
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.
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1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
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445459A
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A325T N USA
|
|
Size
|
.5 in
|
|
Bolt Length
|
2 in
|
|
Gage Type
|
Pass
|
DIME Test ID: 2023-04-18-15-2
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: 05/08/2023
Date Tested: 04/24/2023
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
|
445459A
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A325T N USA
|
|
Size
|
.5 in
|
|
Bolt Length
|
2 in
|
|
Measurement Average
|
3.2 mils
|
DIME Test ID: 2023-04-18-15-3
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 05/08/2023
Date Tested: 04/24/2023
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
|
445459A
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
A325T N USA
|
|
Size
|
.5 in
|
|
Bolt Length
|
2 in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
26.62
|
|
Spacing
|
Ok
|
