Sample Record for 2021-10-28-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215371 DEA: 042W1204 EFIS: 0421000139
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,CC/MRN-580-6.9/7.8, 6.9, 7.8, 02, 5
Work Description: REPLACEMENT OF GUSSET PLATES AT VARIOUS LOCATIONS
Location Description: Richmond San Rafael Bridge
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Behzad Halali Structure Rep.: William Sommer
Sample Information
DIME Sample ID: 2021-10-28-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/03/2021
The quantity of what the sample constitutes: 50
A brief description of the sample: ASTM A563 HHN MG, 1-inch diam
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name: Richmond San Rafael Bridge
The fabricator/manufacturer/facility name: LeJeune Bolt Company
Material Information
Rocap Number(s): L1414551
Heat Number(s): 201465
Nut Mfg. Lot Number(s): 33281-201465
Washer Mfg. Lot Number(s): n/a
Bolt Specification: n/a
Bolt Length(s):
Nut Specification: ASTM A563
Washer Specification: n/a
Finish: Mech Galv
Diameter/Size: 1 inch
Bolt Mfg. Lot Number: n/a
Rocap Test Requirement(s):
Lubricant Requirements(s):
Test Results
Test 1 of 3
DIME Test ID: 2021-10-28-6-1
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: 11/08/2021
Date Tested: 11/04/2021
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: A563
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Bolt Mfg. Lot Number | Size (in) | Peak Load (lbf) | Peak Load (kN) | Comments | Tested By | | 1 | 33281-201465 | | 94230 | | A563 | fsaylor |
| |
|
UTM
|
450kip
|
|
Temperature
|
72 f
|
Test 2 of 3
DIME Test ID: 2021-10-28-6-2
Test Method: ASME B1.2-83r01: (Plug Gage) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Plug Gage)
Verified Date: 11/08/2021
Date Tested: 11/04/2021
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)
|
no data
|
|
Mfg. Lot Number
|
33281-201465
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
U DH
|
|
Size
|
1 in
|
|
Gage Type
|
Pass
|
Test 3 of 3
DIME Test ID: 2021-10-28-6-3
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: 11/08/2021
Date Tested: 11/04/2021
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)
|
no data
|
|
Mfg. Lot Number
|
33281-201465
|
|
Finish Coating
|
ASTM B695 - Mech Galv
|
|
Product Markings
|
U DH
|
|
Size
|
1 in
|
|
Bolt Length
|
no data in
|
|
Measurement Average
|
3.7 mils
|
