Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214909 DEA: 120N8604 EFIS: 1214000123
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-73-23.7/24.1
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA.
Location Description: ORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 26320 LESTER CIRCLE, CORONA CA 92883
Resident Engineer: Jay Joubeen Structure Rep.: Ali Jenabzadeh
DIME Sample ID: 2021-07-06-8
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Verification
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/14/2021
The quantity of what the sample constitutes: 1
A brief description of the sample: ASTM F1554 Grade 55 Anchor Bolts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle Corp
Rocap Number(s): NA
Heat Number(s): 1201032508
Nut Mfg. Lot Number(s): NA
Washer Mfg. Lot Number(s): NA
Bolt Specification: ASTM F1554
Bolt Length(s): 21-1/2"
Nut Specification: NA
Washer Specification: NA
Finish: Hot Dip
Diameter/Size: 1-1/2" - 6 x 21-1/2"
Bolt Mfg. Lot Number: 120103250820
Rocap Test Requirement(s):
Lubricant Requirements(s):
DIME Test ID: 2021-07-06-8-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 07/19/2021
Date Tested: 07/15/2021
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
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | 1 | 1201032508 | 0.505 | 0.2 | 61050 | 83903 | 29.9 | spaine |
| |
UTM
|
67kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-07-06-8-2
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 07/19/2021
Date Tested: 07/15/2021
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
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | 2 | 1201032508 | 0.505 | 0.2 | 62481 | 84027 | 30.2 | spaine |
| |
UTM
|
67kip
|
Temperature
|
72 f
|
DIME Test ID: 2021-07-06-8-3
Test Method: ASME B1.2-83r01: (Ring Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Ring Gage)
Verified Date: 07/19/2021
Date Tested: 07/16/2021
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)
|
1201032508
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
YELLOW
|
Size
|
1.5 in
|
Bolt Length
|
21.5 in
|
Gage Type
|
Pass
|
DIME Test ID: 2021-07-06-8-4
Test Method: ASTM B499-14: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 07/19/2021
Date Tested: 07/16/2021
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)
|
1201032508
|
Mfg. Lot Number
|
no data
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
Product Markings
|
YELLOW
|
Size
|
1.5 in
|
Bolt Length
|
21.5 in
|
Measurement Average
|
4.99 mils
|