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Sample Record for 2020-07-30-10

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Project Information

Project ID: 210037 DEA: 043G4424 EFIS: 0412000042 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-R5.6/7.6
Location Description: SFOBB WEST SPAN
Contractor Name: California Engineering Contractors Inc.
Contractor Address: 20 Happy Valley Road, Pleasanton, CA 94566
Resident Engineer: Tom Larwin Structure Rep.: Gomez, Sergio

Sample Information

DIME Sample ID: 2020-07-30-10
TL Number from the TL Form: 741528
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Acceptance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/03/2020
The quantity of what the sample constitutes: 5@9-1/2", 3@11"
A brief description of the sample: Bolt Assemblies
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Bolt

Material Information

Rocap Number(s): 4821-05, 4821-06
Heat Number(s): NU739824, 3088576
Nut Mfg. Lot Number(s): 27359-621448003
Washer Mfg. Lot Number(s): 299421
Bolt Specification: ASTM A490
Bolt Length(s): 9-1/2", 11"
Nut Specification: ASTM A194
Washer Specification: ASTM F436
Finish: Plain
Diameter/Size: 1"
Bolt Mfg. Lot Number: 217120A, 563132-2
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test Information 8 of 27

DIME Test ID: 2020-07-30-10-8
Test Method: 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)
Verified Date: 08/04/2020
Date Tested: 08/04/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email:
Organization Phone: (916) 227-7253
General Comments for this Test: A194 Nut
Additional Comments When Verified:
Number of Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)CommentsTested By
1C27359-621448003106541A194 Nutfsaylor
UTM 400kip
Temperature 72 f

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.