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Sample Record for 2017-03-28-3

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Project Information

Project ID: 210041 DEA: 043G4864 EFIS: 0412000086 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-92-14.4/18.8
Work Description: CLEAN AND PAINT STRUCTURAL STEEL ON BRIDGE
Location Description: IN SAN MATEO AND ALAMEDA COUNTIES ON ROUTE 92 AT SAN MATEO HAYWARD
Contractor Name: LIBERTY MAINTENANCE, INC.
Contractor Address: 777 N. Meridian Rd., Youngstown, OH 44509
Resident Engineer: Minh Hinh Structure Rep.: Bryan Chew

Sample Information

DIME Sample ID: 2017-03-28-3
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: 03/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2017
The quantity of what the sample constitutes: 140
A brief description of the sample: 1-8 x 4 Heavy Hex bolt
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Bolt

Material Information

Rocap Number(s): L1411788
Heat Number(s): DL16104296 166642 11606780
Nut Mfg. Lot Number(s): 24618-166642Z
Washer Mfg. Lot Number(s): D2553
Bolt Specification: A325
Bolt Length(s): 4"
Nut Specification: A563 DH
Washer Specification: F436
Finish: Mech Galv
Diameter/Size: 1"
Bolt Mfg. Lot Number: 383812A
Rocap Test Requirement(s):
Lubricant Requirements(s):

Test Results

Test 1 of 4

DIME Test ID: 2017-03-28-3-1
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 with Wedge)
Verified Date: 04/04/2017
Date Tested: 04/03/2017
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: A325
Test Result Compliance:
Additional Comments When Verified:
Number of Bolt Samples 1
SampleBolt Mfg. Lot NumberSize (in)Peak Load (lbf)Peak Load (kN)Wedge Angle (deg)CommentsTested By
3AB362018171\"86578385.110A325Fred
UTM 400KIP
Temperature no data

Test 2 of 4

DIME Test ID: 2017-03-28-3-2
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: 04/04/2017
Date Tested: 04/04/2017
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. 3A
Rocap Number L
Heat Number(s) no data
Mfg. Lot Number 383812A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 4 in
Measurement Average 3.63 mils

Test 3 of 4

DIME Test ID: 2017-03-28-3-3
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: 04/04/2017
Date Tested: 04/04/2017
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. 3B
Rocap Number L
Heat Number(s) no data
Mfg. Lot Number 383812A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 4 in
Measurement Average 3.1 mils

Test 4 of 4

DIME Test ID: 2017-03-28-3-4
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: 04/04/2017
Date Tested: 04/04/2017
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. 3C
Rocap Number L
Heat Number(s) no data
Mfg. Lot Number 383812A
Finish Coating ASTM B695 - Mech Galv
Product Markings A325 N
Size 1 in
Bolt Length 4 in
Measurement Average 3.15 mils