DIME - Sample Record for DIME Sample ID 2019-10-10-6

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CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-10-10-6

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Project Information

Project Identifiers	Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663
DIST-CO-RTE-PM	07-LA-710-6.0-9.4
Award Date	09/02/2011
Closeout Date	Not set
Work Description	Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location Description	Port of Long Beach (District 7)
QA Service Level	1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date	10/10/2019	Sample Unique Key	6
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	10/15/2019
Sample type	Quality Assurance	A brief description of the sample	A490 Bolt
The quantity of what the sample constitutes	1	From where was the sample collected	Job Site
First name of sampler or witnessed by	Nicholas	Last name of sampler or witnessed by	Hoffmann
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	LeJeune Bolt Company	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	L124-17-19	Structure unique identifier
Structure name

Material Information

Material Type	SMTL TM3 - Fastener Assembly	Rocap Number(s)	L1413465
Heat Number(s)		Nut Mfg. Lot Number(s)	30581-6214661005Z
Washer Mfg. Lot Number(s)	D7916Z	Bolt Specification	F3125/A490
Bolt Length(s)	10"	Nut Specification	A563
Washer Specification	F436-3	Finish	Geomet
Diameter/Size	1 1/4"	Bolt Mfg. Lot Number	082819-1FBZ
Rocap Test Requirement(s)		Lubricant Requirements(s)

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2019-10-10-6-2	ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)	randelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	randelin	Yes	10/22/2019	A490 Wedge Tensile
2019-10-10-6-3	ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load with Wedge)	randelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	randelin	Yes	10/22/2019	A490 Wedge Tensile
2019-10-10-6-4	ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)	randelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	randelin	Yes	10/22/2019	Nut Proof Load
2019-10-10-6-5	ASTM F606-14a: Standard Test Methods for Determining the Mechanical Properties of Externally and Internally Threaded Fasteners, Washers, Direct Tension Indicators, and Rivets (Proof Load)	randelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	randelin	Yes	10/22/2019	Nut Proof Load
2019-10-10-6-6	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Rheanna Andelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	Rheanna Andelin	Yes	10/22/2019
2019-10-10-6-7	ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)	Rheanna Andelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	Rheanna Andelin	Yes	10/22/2019
2019-10-10-6-8	ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Rheanna Andelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	Rheanna Andelin	Yes	10/22/2019
2019-10-10-6-9	ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)	Rheanna Andelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	Rheanna Andelin	Yes	10/22/2019
2019-10-10-6-10	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Rheanna Andelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	Rheanna Andelin	Yes	10/22/2019
2019-10-10-6-11	ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)	Rheanna Andelin, CT HQ - Sacramento Structural Materials Testing Laboratory	10/17/2019	Rheanna Andelin	Yes	10/22/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-10-10-6-2 ASTM F606-14a (Verified)
DIME Test ID: 2019-10-10-6-3 ASTM F606-14a (Verified)
DIME Test ID: 2019-10-10-6-4 ASTM F606-14a (Verified)
DIME Test ID: 2019-10-10-6-5 ASTM F606-14a (Verified)
DIME Test ID: 2019-10-10-6-6 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-10-10-6-7 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-10-10-6-8 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-10-10-6-9 ASME B1.2-83r01 (Verified)
DIME Test ID: 2019-10-10-6-10 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-11 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-12 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-13 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-14 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-15 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-16 ASTM B499-14 (Verified)
DIME Test ID: 2019-10-10-6-17 ASTM E18-15 (Verified)
DIME Test ID: 2019-10-10-6-18 ASTM E18-15 (Verified)
DIME Test ID: 2019-10-10-6-19 ASTM E18-15 (Verified)